, Ho Won Kang, Do Lin Jung, Seok Heun Jang, Bong Suk Shim, Sun Nam Lee Nonseminomatous germ cell tumor is histologically composed of embryonal cell carcinoma, teratoma, choriocarcinoma, and yolk sac elements, alone or in various combinations. Its management is still controversial according to its stage. A failure or relapsed tumor after primary chemotherapy get poor prognosis, We experienced a successful case of complete remission fter chemotherapy and retroperitoneal lymph node dissection(RPLND) in stage B2 nonseminoma.
, Seok Heun Jang, Hak Ryong Choi, Bong Suck Shim, Sung Won Kwon Urethral masses are not common in urogenital disease. The purpose of this study is to investigate and analyze urethral masses.
We reviewed 82 cases of urethral mass which were confirmed pathologically at Urology Department of Ewha Womans University Hospital from January 1985 to December 1994.
1) Age distribution was between 10 and 82 years(mean age 48.7 years), showing the highest incidence in 31 to 60 years(53/82, 64.6%) and female to male ratio was 5.8:1.
2) Major symptoms were foreign body sensation of urethra(42/82, 51.2%), vaginal spotting (20/82,24.4%), dysuria(12/82, 14.6%), residual urine sensation and urinary frequency.
3) Among them, 40 cases were urethral caruncle(40/82,48.8%), 13 were urethral diver-ticulum(13/82, 15.9%), 10 were urethral condyloma(10/82, 12.2%), and 8 were urethral leiomyoma(8/82, 9.8%).
4) Among urethral caruncles, 24 cases were telangiectatic type(24/40, 60%), 8 were papillomatous type(8/40, 20%) and 8 were granulomatous type(8/40, 20%).
5) Surgical excision with electrocauterization or laser fulguration was performed in all cases and radiation therapy was added in case of leiomyosarcoma.
These results suggest that urethral masses are more common in female than male, most of them are benign condition, urethral caruncle is a major disease, and surgical excision with electrocauterization or laser fulguration is a good treatment.
, Bong Suck Shim, Sung Won Kwon The purpose of this study is to investigate the clinical result of Marshall-Mar-chetti-Krantz operation, one of the treatment methods for stress urinary ncontinence.
Authors have analyzed the 66 cases out of 83 stress urinary incontinence patientsin whom Marshall-Marchetti-Krantz operation and 1 year follow-up was performed at UrologyDepartment of Ewha Womans University Hospital from January 1990 to December 1993.
The results were as follows:
1) The patients' age distribution was from 33 to 53 years old (mean age 44.9 years). The average number of deliveries was 3.1 and 29 patients were multipara with more than 4 deliveries.
2) As compared with urinary incontinence grade, Grade I was seen in 22 cases (43.9%),Grade II in 40 rases (42.4%) and Grade III in 4 cases (6.1%). Overall Grade II was most frequent.
3) PUV angle between posterior urethra and bladder base seen by chain cystourethrographywas 154.0°(134-179°) in average and urethral inclination was 23.9°(14-50°)in average.
4) The operation took between 36 to 72 minutes with mean 45.2 minutes. Urethral catheter was placed after the operation for mean 5.0 days (4-8 days) ana hospitalization days weremean 8.3 days (7-15 days).
5) 6 cases (9%) of urinary retention was the only postoperative complication and all of themwere resolved 3-7 days after intermittent catheterization.
6) In the fi11ow-up after 6 months, recurrence was seen on the third month after the operationin 2 cases and on the 12th month in 3 cases which resulted in 92.4% of operation success rate.
Marshall-Marchetti-Krantz method can safely be performed in patients withstress urinary incontinence and further comparative study with otter operation method be needed.
, Seok Heun Jang, Bong Suck Shim, Sung Won Kwon, Hye su Gu Cystic lymphangioma is a very rare condition of unknown etiology. It is generally regarded as a developmental malformation in which obstruction or agenesis of lymphatic tissue results in lymphagi-ectasis secondary to lack of normal communication of the lymphatic system.
Most lymphagiomas occur in the neck(75%) and axillary region(20%). Lymphagiomas may rarely occur in the retroperitoneum, mediastinum and mesentery.
We report a case of 42-year-old woman with histologically proven cystic lymphagioma retroperitoneum.
Citations
, Jun Young Jeon, Bong Suck Shim, Sung Won Kwon Primary signet ring cell adenocarcinoma of the bladder accounts for less than 1 per centof all primary bladder neoplasm. 19 cases have been reported in the literature.
This tumor is insidious because of its subepithelial infiltrative nature, which makes diagnosis possible only late in the course of the disease.
Survival is poor ; greater 50 per cent of the patients are dead within a year after diagnosis.Radical surgery offers the only hope of palliation ; irradiation and chemotherapy have notbeen effective.
We are reporting two cases of primary signet ring cell adenocarcinoma of the bladder treatedwith radical cystectomy with pathological findings and review of the literature.
, Jong Gi Kim, Bong Suck Shim, Su Yeon Jo, Hye Su Gu Malignant fibrous histiocytoma(MFH) is the most common soft tissue sarcoma of late adultlife, majority of cases occuring in persons between ages of 50 and 70.
It occurs most frequently on the lower extremity followed by upper extremity and retroperitoneum.
Primary involvement of the kidney is quite rare, with only 19 cases reported in the literature.
We report a case of 74-year-old woman with histologically proven MFH of the right kidney.
First
Prev
