Clinical significance of measurements of serum CA19-9 in genitourinary cancer / 대한비뇨기과학회지

We measured serum CA19-9 from March 1990 to June 1992 in 63 cases of normal controls, 56 cases or bladder cancer, 32 cases of renal cell carcinoma, 8 cases of prostatic carcinoma, 4 cases of penile cancer. 2 cases of testicular cancer and 3 cases of carcinoma of gastrointestinal tract with metastasis to the retroperitoneum. The results of this study were that serum levels of CA19-9 in urinary bladder cancer, renal cell carcinoma and prostatic carcinoma were statistically significant. However, sensitivity was low, 14. 29% for urinary bladder cancer, 18.75% for renal cell carcinoma. 12.5 % for prostatic carcinoma and specificity was 95.2%. In renal cell carcinoma, there was no change in serum level between stages. However there was a statistically significant difference (p<0.05) between low stage(A, B) and high stage(C, D) urinary cancers. We suggest that serum CA19-9 levels cannot be used as a screening test or prognosis indicator in tumors of the genitourinary tract ; however it can be helpful in differentiating between low and high stage urinary bladder cancers.

The Role of Lymphography in the Management of the Genitourinary Tract Tumors / 대한비뇨기과학회지

This paper is presented to report the results of urinary quantitative culture and drug sensitivity tests for isolated micro-organisms in this study. Studies were done on 172 cases from the department of Urology, Eul Ji General Hospital during the period from Jan. 1979 up to Dec. 1980. 1. Quantitative urine culture in 172 cases were performed and of these, 89 cases grew micro-organism wile the remaining 83 cases showed no growth. Among the 89 cases, 67 cases (75.2%) revealed significant bacteriuria with colony count over 10 5/ml in urine while 22 cases (24. 8%) were below 105/ml. Radio of Male: Female is 29: 38 2. 55 cases (82.1%) among the 67 cases with significant bacteriuria could the bacteria be identified on a smear and Gram stain. 54 cases (80.6%) of the 67 significant bacteriuria casts revealed pyuria of more than 5/HPF while 13 cases (19.4%) were below 5/HPF 3. 60 cases(89. 6%) of the 67 cases significant bacteriuria has Gram (-) bacilli while 7 cases(10.4 %) were Gram (+) cocci by direct smear. The frequency of isolated organism were as following E. coli 33 cases (49. 3%). Pseudomonas 11 cases(16.4%) Enterobactor 6 cases(9.0%) Proteus and stapbylo. Aureus 4 cases(5.8%) respectively. 4. On the whole, all isolated micro-organisms showed considerable susceptibility to panimycin (82. 7%) and then frequency of susceptible drug were and then the frequency of susceptible drug were Cefamezine, Kedacillin, Gentamicin.

A Statistical Observation on Tumors of the Genito-Urinary Tract / 대한비뇨기과학회지

A statistical observation was made on the tumors of genito-urinary tract of in-patient in the department of Urology, Kyungpook National University, School of Medicine, during the period, Jan. 1962 to Aug. 1972. The results were as follows; 1. During this period, 1,080 cases (870 males, 210 females) were hospitalized, among them I79 cases (146 males, 33 females) had tumors of genitourinary tract, giving a rate of 16.6% (male 16. 8, female 15.7). 2. In I79 cases of the genito-urinary tract tumors, 58 cases (32. 4%) were benign and 113 cases (63.1%) were malignant tumors and remainders were uncertain pathologically. 3. Age distribution ranged from 3 months to 81 years, and cases over 40 years old were 145 cases (or 81%) among 179 cases. 4. Among 179 cases, 67 cases (37.4%) were vesical, 58 cases (29%) prostatic, 28 cases renal, 14 cases penile, 9 cases testicular, and 2 cases ureteral tumors. 5. On the histopathologic findings, renal cell carcinoma was observed in 17 cases among 24 renal tumors (68%), Wilms' tumor in 7 cases and transitional cell carcinoma of the renal pelvis in 2 cases. Among 67 cases of bladder tumors, transitional cell carcinoma was in 54 cases (85.7%), squamous cell carcinoma in 4 cases and adenocarcinoma in 2 cases. In 52 cases of prostatic tumor, B.P.K was in 45 cases (86.5%), adenocarcinoma in 6 cases. Squamous cell carcinoma was most common (11 in 14 cases), and papilloma was in 3 cases among penile tumors. And seminoma was observed in 4 cases, embryonal cell carcinoma in Z cases, teratoma in 3 cases respectively among 9 cases of the testicular tumors.