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만삭전 조기양막파열 산모의 정맥혈장내 지질과산화, 항산화능 및 항산화 비타민치
김윤하 ( Kim Yun Ha ),안봉환 ( An Bong Hwan ),양성열 ( Yang Seong Yeol ),김철홍 ( Kim Cheol Hong ),조문경 ( Jo Mun Gyeong ),이광수 ( Lee Gwang Su ),김석모 ( Kim Seog Mo ),송태복 ( Song Tae Bog ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.2
Objective : Our purpose was to review patients undergoing radical hysterectmy and pelvic lymphadenectomy, comparing Pfannenstiel and Vertical midline incisions for operative feasibility and perioperative outcome. Methods : Between January 2001 and February 2003, 123 patients underwent radical hysterectomy and pelvic lymphadenectomy for cervical cancer at Busan Paik hospital. All procedures were performed by a gynecologic oncologist. Prospectively, all data were collected from review of each patient`s medical record, including age, body mass index (BMI), stage, histology, nodal counts, operative time, estimated blood loss, surgical pathologic margin positivity, complications, and length of hospital stay. Associations between variables were studied using X²test, t-test, and Fisher Exact test. Results : Radical hysterectomy was performed through a Vertical midline (n=62) and Pfannenstiel (n=61) incision. There were no significant differences in age, BMI, stage, histology, nodal counts, estimated blood loss, surgical pathologic margin positivity, complications, and length of hospital stay. But, patients with a Pfannenstiel incision had shorter operative time than those with Vertical midline incision (169 min vs 197 min, P<0.0001). Conclusion : Radical hysterectomy and pelvic lymphadenectomy can be safely performed through a Pfannenstiel incision without increased operative morbidity and equal nodal removal as compared with Vertical midline incision. Pfannenstiel incision may offer the benefits of improved cosmesis and shorter operative time without compromising surgical exposure or increasing the risk of surgical complications.
김용식 ( Kim Yong Sig ),김석모 ( Kim Seog Mo ),최호선 ( Choe Ho Seon ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.5
Objective : To evaluate the risk factors for high grade dysplasia after Loop electrosurgical excision procedure (LEEP). Methods : LEEP using local anesthesia was performed on an outpatient basis in 1656 patients referred for colposcopy for an abnormal Papanicolaou smear of cervigram during a period of 7 years. We performed a cytologic smear immediately after loop excision. LEEP cone slides were reviewed to assess involvement of margins, multiple quadrants. Results : One hundred seven patients (8.1%) had recurrent dysplasia and mean interval of recurrence after loop excision were 13.2 months. Greater recurrence rates were noted involving margins (36.4% of recurrent group vs. 67% of control group), multiple quadrants (3.1% of recurrent group vs. 1.8% of control group), and endocervix immediately after loop excision (19.5% of recurrent group vs. 1% of control group). Conclusion : Careful follow-up should be applied in the cases of multiple quadrants involvement, margin positivity, positive Pap result right after LEEP.
정광필 ( Jeong Gwang Pil ),김석모 ( Kim Seog Mo ),최호선 ( Choe Ho Seon ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.5
Malignant transformation is a rare complication in a mature cystic teratoma of the ovary, usually being reported less than 2% of cases. The most common malignant tumor arising from a mature cystic teratoma of the ovary is a squamous cell carcinoma. However, adenocarcinoma is reported extremely rare, in most cases it was impossible to tell the source of the malignancy. We experienced a case of papillary carcinoma of thyroid glands arising from mature cystic teratoma of the ovary and report this case with a brief review of literature.
수술 전 선행화학요법을 시행한 난소의 원발성 악성 혼합성 뮬러리안종양
강명선 ( Kang Myeong Seon ),김석모 ( Kim Seog Mo ),최호선 ( Choe Ho Seon ),이유경 ( Lee Yu Gyeong ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.2
Objective : This study was perfomed to evaluate the expression of MAGE gene and human papillomavirus (HPV) 16, 18 type in patients with cervical neoplasia using in exfoliated cervical cells. Methods : The expression of common MAGE gene (MAGE 1 to 6) in cervical scraps was studied by reverse-transcription plymerase chain reaction (RT-PCR) in 12 normal control patient and 48 patients with abnormal cytologic results. In all 60 patients, colposcopic directed biopsy and HPV test by polymerase chain reaction (PCR) was done. Results : The pathologic results of 60 patients was 12 cervicitis, 37 cervical intraepithelial neoplasis (14 LSIL, 23 HSIL), and 11 invasive squamous cell carcinomas. No expression of common MAGE gene was detected in 12 cervical scraps of cervicitis. The common MAGE gene of LSIL, HSIL and invasive squamous cell carcinomas was expressed in two (14.3%), seventeen (73.9%), ten (90.9%) respectively. HPV type 16 or 18 was detected in 1 cervicitis, 5 LSIL, 20 HSIL and 10 invasive squamous cell carcinoma. In 51 patients (85%), the HPV test result and the common MAGE gene expression showed coincident results. Conclusion : This result suggests common MAGE gene might be potential tumor marker in cervical neoplasia and adjuvant test of the Papanicolaou smear.
난소의 성숙 낭성기형종에서 유래한 악성 변형 11예의 임상 병리학적 고찰
강우대 ( Kang U Dae ),윤대석 ( Yun Dae Seog ),이재영 ( Lee Jae Yeong ),김석모 ( Kim Seog Mo ),최호선 ( Choe Ho Seon ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.4
Objective: There have been few studies concerning the clinical pathology of malignant transformation arising from ovarian mature cystic teratoma. Thus, the objective of this study is to determine clinicopathologic factors affecting survival in this rare t
제왕절개분만 후 질식 분만 시도시 성공을 예측할 수 있는 인자들
조문경 ( Cho Moon Kyoung ),김윤하 ( Kim Yun Ha ),박상현 ( Park Sang Hyeon ),김석모 ( Kim Seog Mo ),송태복 ( Song Tae Bog ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.7
Objective : To determine predicting factors associated with successful trials of labor in women attending vaginal birth after cesarean delivery. Methods : A retrospective chart review from January 1998 through December 2001 of 330 patients (sucess group n=282, failure group n=48) undergoing trials of labor after cesarean delivery at Chonnam National University Hospital. Data were tested for statistical significance with the Student`s t-test and the Chi-square test. Results : The following characteristics were found to be statistically significant positive prognostic indicators: lower gestational age (274.0±20.6 vs. 281.1±7.9 days, p<0.01); higher gravity (1.2±0.5 vs. 1.0±0.2, p<0.01); higher maternal weight gain during pregnancy (3228±543 vs. 3458±497 gram, p<0.01); lower birth weight (7.8±2.7 vs. 6.6±2.5, p<0.01); history of prior trial of labor success (0.17 vs. 0.02, p<0.01), lower birth weight at prior cesarean section (3257±460 vs. 3838±411 gram, p<0.05). Conclusion : The characteristics associated with successful trials of labor after cesarean delivery-Bishop score at admission, history of prior vaginal delivery will provide information that may be helpful to the physician and the patient. Trial of labor (probability) = e^(13.48+014Bishop score+1.06vaginal delivery history-0.001birth weight-0.259gestational age)/1+e^(13.48+0.14Bishop score+1.06vaginal delivery history-0.001birth weight-0.259gestational age)
전형적인 악성 난소종양의 임상적 특징을 보인 난소 갑상선종
임소이 ( Im So I ),하진아 ( Ha Jin A ),김석모 ( Kim Seog Mo ),최호선 ( Choe Ho Seon ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.1
Struma ovarii is a rare form of ovarian neoplasm, composed entirely or predominantly of thyroid tissue and generally a benign germ cell tumor of the ovary. The tumor usually present with findings of an asymptomatic mature mass. Despite containing thyroid