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유방병변의 태반성 물질의 표현에 대한 면역세포화학적 연구
윤루비,최종상,이대일 고려대학교 의과대학 1989 고려대 의대 잡지 Vol.26 No.1
The ability of neoplasms to elaborate and release a variety of biologic products into the circulation has been the subject of intense investigation over last two decades. In estimating prognosis of breast carcinomas, there is no confidential tumor markers used, except the estrogen receptors which indicate a likelihood of a response to endocrine therapy. At present, established prognostic factors are tumor stage and histological grading. And an immunocytochemical study was carried out to examine the expression and the prognostic significance of human chorionic somatomammotropin(HCS), pregnancy specific beta-1-glycoporote-in(SP-1), and beta-human chorionic gonadotropin(β-HCG) in a series of 56 breast lesions Avidin-biotin complex was used to trypsin treated and nontreated tissue sections The results obtained are as followings; 1. HCS positive reaction was seen in the epithelium of lobules and ducts in trypsin treated normal breast tissue. 2. HCS and SP-1 showed positive reaction on the epithelium of the fibrocystic disease in trypsin-treated tissue, and HCS showed positive reactions on the epithelium of the fibroade-nomas in both trypsin-treated and -nontreated tissues In trypsin treated tissues, SP-1 showed positive reaction on the fibroadenoma and HCS showed positive reactions on the intraductal papilloma. 3. Of breast carcinomas, HCS and SP-1 showed positive reactions in 65.7% and 37.1%, respectively in trypsin treated tissues 4. Beta-HCG showed Bo reactions on the all tissues regardless of trypsin treatment. 5. Trypsin treatment on the breast tissue showed increased rate of positive reactions with HCS and SP-1.
윤루비(RB Yoon),서재식(JS Suh),신용덕(YD Shin),남재현(JH Nam),김동진(DJ Kim),고경용(KY Koh) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.12
In recent years the use of cesarean section has increased remarkably because of the emphasis that is directed toward recognition of impairment of fetal wellbeing We studied on 1, 045 patients who had cesarean section among 3973 delicaries at kang Nam Hospital during four years period from Jan 1st 1980 to Dec 31st 1983 The result analsyed were as follow: 1) Overall incidence of cesarean section was 26.3% of the total delicaries 3973 patients 2) Of all these 1045 sections the primary section accounted for 53,8% of the sections and the repeat sections were 46.2% 3) By age 44.5% of cause were between 25-29 years of age 4) The most frequent indication of the cesarean section was prvious cesaarean section(46.2%) Next indications were C.P.D. (21.4%) and breech presentation (9.4%) 5) The most frequent indication of primary section in multipara was malpresentation (33.3%) The others were antepartum hemorrhage such as placenta previa and placenta abruptio (28.4%) and C.P.D. (16.04%) 6) In the distriution of body weight of infants the group of 3,000-3,499gm was the most common(40.6%) 7) In performing the cesarean section lower segmental transverse incision was most commen (96.9%) classical section was only 8 cases (0.8%) and casarean hysterectomy was perfomed in 4 cases 8) Incidental operation: Tubal ligation for sterilization was most common(95.95%) The others were appendectomy (34.9%) and adnexal operation(3.4%) 9)Of the postoperative complication the wound infection was the most common (31.5%) The others were urinary tract infection (26.7%) endometritis(17.1%) ect 10) The perinatal mortality was 2.4%
서재식(JS Suh),윤루비(RB Yoon),신용덕(YD Shin),고경용(KY Koh),김동진(DJ Kim),남재현(JH Nam) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.11
Premature rupture of the membrances (PROM) is one of the most complicatons of pregnancy and a cause of perinatal mortality and morbidity as well as a cauese of maternal morbidity A total of 339 deliceries at the Department of Obstetrics and Gynecology in Kang Nam General Hosptial from Aug 1983 to Jan 1984 were studied They wee deviede into two groups; One was a group 1 who received pelvic examination weekly from 37 weeks` gestation to delivery the other was a group 2 who didn`t receive pelvic examination The result of clinical analysis of two group are as follows: 1) The incidence of PROM in total dilivery was 15% 2) The highest incidence of PROM was in the nulliparous women and the age group of third decade 3) The incidence of PROM in Group 1 who were examined weekly was 19.6% which was asignificant increase compared to the incidence of Group 2, 7.7% 4) The Primary Cesarean section rate of Group 1 was 17.1% and that of Group 2 was 10.0% 5) The overall cesarean section rate of the PROM group(15.6%) was found to be more than twice that of remaining intact membrane group(6.9%) 6) This study suggests that pelvic examinations before term may be a significant contributing factor to the occerrence of PROM Therefore it would seem prudent to recommend that no pelvic examinations be done routinely in the in the third trimester unless a vaild medical indication exists to examine the cervix,
신용덕(YD Shin),서재식(JS Suh),윤루비(RB Yoon),남주현(CH Nam),김동진(DJ Kim),고경룡(KY Koh) 대한산부인과학회 1986 Obstetrics & Gynecology Science Vol.29 No.5
요로계 , 난소피양낭종 Dermoid cyst of the ovary extended into the urinary system is a rare condition. We have experienced two cases of Dermoid cyst extended into urinary system. One case of that invaded into urinary bladder wall and grew intravesically by the formation of cysto-vesical fistula. The other case of that adhered and penetreated into ureter, and so subsequent impairment of renal function was resulted by cysto-ureteral fistula formation. Both patients were suffered from bladder irritation symptoms concomittantly. Here these two cases of Dermoid cyst extended into the urinary system have been presented with some literatures.