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조정철(Jeong Cheol Cho),신옥철(Ok Cherl Shin),김진호(Jin Ho Kim),홍선희(Sun Hee Hong),강창성(Chang Seong Kang),안기범(Ki Bum An),왕영미(Young Mee Wang),박종규(Jong Kyou Park) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.9
Despite the rarity of 48, XXYY, having an incidence rate of 1 in 50,000 persons, 1 in 300 persons are reported to have a mental disorder of criminal behavior. The clinical characterics of 48, XXYY are similar to Klinefelter's syndrome such as small testis, tall stature, gynecomastia and can show mental retardation and skeletal anomaly. When the cause of elevated maternal serum AFP is not explained by USG or measurement of amniotic fluid AFP, during the second trimester of pregnancy, it is defined as unexplained elevation of maternal serum AFP. We report a case of 48, XXYY with unexplained elevation of maternal serum AFP which has been experienced in our hospital with brief review of literature.
Methotrexate를 임신낭에 직접 투여하여 치유한 자궁경관임신 1 예
김정헌(Jeong Heon Kim),김영인(Yeong In Kim),조정철(Jeong Cheol Cho),신옥철(Ok Cherl Sin),강창성(Chang Seong Kang),안기범(Ki Bum Ahn),왕영미(Young Mee Wang),박종규(Jong Kyou Park) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.11
Cervical pregnancy is a rare form of ectopic gestation and it can cause serious bleeding, shock and death. Although hysterectomies are still performed due to massive hemorrhages, there are some conservative approaches to cervical pregnancies to conserve fertility. Methotrexate is a very useful agent in the management of trophoblastic disease, and has been utilized recently for the successful management of tubal, interstitial, and cervical ectopic gestations. We report a case of viable cervical pregnancy treated successfully with intraamniotic injection of methotrexate guided by transabdominal ultrasonography.