The aim of the present study is to demonstrate the usefulness of intraoperative fine needle aspiration (FNA) of pancreatic lesions in 30 patients. A conclusive diagnosis was done in 27 patients and the diagnoses of three patients were deferred. No complications followed the procedure. Based on histologic findings of the resected specimens in 20 cases and of cell blocks in 10 cases, the final diagnoses were adenocarcinoma in 19 cases, chronic pancreatitis in nine cases and tuberculosis in two cases. The sensitivity, specificity and diagnostic accuracy were 95%, 100% and 96% resepectively and there were no false positives. The smear of aspirate was stained with toluidine blue and examined by light microscope. The presence of there-dimensional clusters of disoriented cells and the increased nuclear/cytoplasmic ratio with large prominent nucleoli were the most helpful criteria for a diagnosis of malignancy in the pancreas. The intraoperative FNA of pancreatic lesions was considered as a simple, safe, and highly specific and sensitive tool in differentiating benign from malignant lesions. The intraoperative FNA can be recommended as the first tool of choice of intraoperative diagnostic procedure in lesions of the pancreas.
Child ; Male ; Female ; Humans ; Adenocarcinoma

For the establishment of the basis of treatment and study in the patients of facial bone fracture, we performed a clinico-statistical study about 28 papers and 9564 cases reported as facial bone fractures in the journal of Korean association of oral and maxillofacial surgeons, the journal of the Korean academy of maxillofacial plastic and reconstructive surgery, and related journals. The results were as follows: 1. The ratio of men to women was 4.50:1. 2. The age frequency was highest in the third decade(37.6%), and fourth(21.5%), second(15.5%), fifth(10.3%) decade in orders. 3. The most common location of facial bone fractures was the mandible(62.7%), and zygoma complex (22.6%), nasal bone(15.0%), and maxilla(13.0%) were next in order of frequency. 4. The major etiologic factors were traffic accident(37.9% ), fisticuffs(26.4%), and falldown and slip down(23.4%). 5. The frequent fracture site of mandible is symphysis(39.3%), angle(24,4% ), and condyle(22.5%). The ratio of left to right was 1.31:1. Open reduction(69.1%) was the more frequently using method of treatment in mandibular fracture than colsed reduction (28.6%). 6. The sites of zygoinatic fractures were zygoma complex(48.0%), zygornatic arch(35.7%), and combined(16.3%). The left to right ratio was 1.37:1. 7. The most frequent maxillary fracture was Le Fort I (31.4% ), and Le Fort II (27.1%), unilateral(14.3%), Le Fort III (7.6%) were next in order of frequency.
Facial Bones* ; Female ; Humans ; Male ; Mandible ; Mandibular Fractures ; Maxillary Fractures ; Plastics ; Statistics as Topic* ; Zygoma

Paraganglioma is a benign tumor arising in the paraganglion system scattered throughout the body, but its cytopathologic findings arenot well known. We experienced a case of paraganglioma of carotid body diagnosed by fine needle aspiration. The patient was a 30 year-old female who suffered from the left neck mass for 3 years. The mass was 3x3crn in size without pulsation or bruit. Cytologically, the smear revealed aggregated and singly scattered tumor cells having abundant pale cytoplasm and indistinct cell borders. Their nuclei were round to oval, but enlarged nuclei were occasionally observed. The nuclear membrane was smooth with fine clumping of chromatin. Differentiation from metastatic follicular carcinoma of the thyroid gland was difficult.
Adult ; Biopsy, Fine-Needle ; Carotid Body ; Chromatin ; Cytoplasm ; Female ; Glomerulosclerosis, Focal Segmental* ; Humans ; Neck ; Nephrotic Syndrome* ; Nuclear Envelope ; Paraganglioma ; Thyroid Gland

No abstract available.

There are many problems in the treatment of intertrochanteric fracture of the femur in elderly patients due to poor bone quality and unstable pattern of the fracture. In the internal fixation of intertrochanteric fracture, it is known that the important prognostic factors include the accuracy of anatomic reduction, the stability of reduction, and the proper positioning if the lag screw. However, in elderly patients, the loss of reduction frequently occur as a postoperative complication in spite of the adequate anatomic reduction. In general, the bone graft increases initial stability of the fracture and promotes bone healing. So authors tried a prospective study using plain films to determine the effects of bone graft in the treatment of osteoporotic unstable intertrochanteric fracture of the femur with large bone defect in the posteromedial cortex. The study population included 35 patients who had been treated at the Department of Orthopaedic Surgery, Yonsei University College of Medicine from Mar. 1990 and to Feb. 1994. The results were as follows. 1. Among 35 patients, there are 22 cases of anatomically reduced (6 cases of bone graft group and 16 cases of non-bone graft group) and 13 cases of nonanatomically reduced (5 cases of bone graft group and 8 cases of non-bone graft group). 2. The average sliding length was 5.7mm in antomically reduced (5.0mm in bone graft group and 6.1mm in non-bone graft group) and 7.9mm in nonanatomically reduced (6.0mm in bone graft group and 9.6mm in non-bone graft group). 3. The loss of reduction during follow-up period was found in 6 cases in anatomically reduced (27.3%), 1 case in bone graft group (16.7%) and 5 cases in non-bone graft group (31.2%), and 6 cases (75%) in nonanatomically reduced without bone graft. In conclusion, additional bone graft in the treatment of osteoporotic unstable intertrochanteric fracture of the femur decreased postoperative complications such as the varus and posterior angular deformity. Therefore, we recommend selective bone graft in the treatment of osteoporotic unstable intertrochanteric fracture of the femur with large bone defect in the posteromedial cortex.
Aged ; Congenital Abnormalities ; Femur ; Follow-Up Studies ; Humans ; Postoperative Complications ; Prospective Studies ; Transplants

Antibodies, Antinuclear ; Arthritis, Rheumatoid ; Autoimmune Diseases ; Biopsy ; Brain ; Butterflies ; Drug Therapy ; Endothelium ; Female ; Humans ; Immune System ; Liver ; Lupus Erythematosus, Systemic ; Lymph Nodes ; Lymphoma ; Maxilla ; Middle Aged ; Oncogenic Viruses ; Sjogren's Syndrome

Genioplasty ; Humans ; Incisor ; Lip ; Maxillary Osteotomy ; Orthognathic Surgery ; Osteotomy ; Osteotomy, Sagittal Split Ramus ; Prognathism ; Surgery, Oral

No abstract available.
Flow Cytometry* ; Immunophenotyping* ; Precursor Cell Lymphoblastic Leukemia-Lymphoma*

No abstract available.
Neuroblastoma* ; Precursor Cell Lymphoblastic Leukemia-Lymphoma*

Calcification is found in 4% to 12% of renal masses due to a number of causes and can be seen in various patterns. This is found in 1% to 3% of the simple renal cysts. Among these a peripheral egg-shell type of calcification is more rare. We experienced the simple renal cyst associated with the thick egg-shell calcification on the renal upper pole in a 66-year-old female complaining upper abdominal discomfort, so we report that with literature.
Aged ; Female ; Humans