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김석모(Suk Mo Kim),장항석(Hang Seok Chang),박정수(Cheong Soo Park) 대한두경부종양학회 2004 대한두경부 종양학회지 Vol.20 No.1
Cervical thymic cysts are not very common. Two-thirds of the lesions are detected in the 1st decade of life, when the thymus is biggest in size and most active. The remaining one-third in the 2nd and 3rd decades. Due to its rarity, cervical thymic cyst is seldom included in the differential diagnosis of a neck mass. Approximately 90 cases have been reported thus far, and most of these cases have occurred asymptomatically in children and adults. We report a case of a 44-year old man with a cervical thymic cyst mimicking branchial cleft cyst.
근치적 자궁적출술을 시행한 자궁경부암 Ib-IIa 환자에서 예후 인자
김석모(Suk Mo Kim),유재두(Jae Doo Yoo),김병룡(Byung Ryong Kim),최영삼(Young Sam Choi),정성일(Sung Il Jung),김철홍(Chul Hong Kim),최호선(Ho Sun Choi),변지수(Jee Soo Byun) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.8
Objective : To analyze the 5-year survival rate and prognostic factors for stage Ib and IIa cervical cancer treated by radical hysterectomy. Methods : A total of 366 patients with invasive cervical cancer treated by radical hysterectomy from June 1985 to June 1994 were retrospectively analyzed at Chonnam National University Hospital, Kwangju, Korea. Survival analysis was performed using the Kaplan-Meier estimator. Multivariate analysis was performed using the Cox proportional hazards regression model. Results : The overall 5-year survival rate was 92% in stage Ib and 87% in stage IIa. Factors assessed for prognostic value included age, FIGO stage, cell type, tumor size, depth of invasion, lymphovascular space invasion (LVSI), and pelvic lymph node metastases (LNM). In the multivariate analysis, age, cell type, and lymph node metastases were independent predictors of survival. Lower survival was associated with older than 50 years, adenocarcinoma, and presence of lymph node metastases. The higher survival rates in patients with single lymph node involvement or lymph node metastases below the level of the common iliac nodes (85 and 84.6%, respectively) versus multiple or extrapelvic lymph node metastases (50 and 20%, respectively) were statistically significant (p < 0.01). Conclusion : Patients who had lymph node metastases, adenocarcinoma, and were older than 50 years had a poorer survival rate. Such patients require more intense postoperative treatment and closer surveillance. Low-risk patients with a single lymph node metastasis below the level of the common iliac nodes may benefit from thorough lymphadenectomy without adjuvant therapy to prevent unpleasant complications.
고주파열치료(Radiofrequency Ablation) 후 발생한 합병증 증례 개복하 고주파열치료 후 발생한 발열, 혈소판 감소증 및 간기능 저하
이재길 ( Jae Gil Lee ),김석모 ( Suk Mo Kim ),김경식 ( Kyung Sik Kim ),원종윤 ( Jong Yoon Won ),유내춘 ( Nae Chun Yoo ),윤동섭 ( Dong Sup Yoon ),최진섭 ( Jin Sub Choi ),이우정 ( Woo Jung Lee ),김병로 ( Byong Ro Kim ) 대한간암학회 2005 대한간암학회지 Vol.5 No.-
자궁경부 원추형 생검수술후 재발 방지를 위한 인유두종바이러스 검사 시기와 대책에 대한 고찰
김소영 ( So Young Kim ),송은섭 ( Eun Seop Song ),최석진 ( Suk Jin Choi ),김근성 ( Keun Sung Kim ),이기은 ( Ki Eun Lee ),김석모 ( Seok Mo Kim ),박지현 ( Jee Hyung Park ),송상용 ( Sang Yong Song ),송윤섭 ( Yun Seob Song ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.7
Objective: To know when human papillomavirus (HPV) testing should be done after conization. Methods: Between 1997 to 2004, Large Loop Excisions of the Transformation Zone (LLETZ) were done for conization to women with cervical pathology at A University Hospital. The Pap and HPV typing were done before LLETZ procedures. After conizations, HPV typing were planned to be done every 3 months. Every HPV typing was done by HPV oligonucleotide microarray (Biomedlab Co., Seoul Korea). Results: For 8 years, 120 LLETZ were enrolled in this study. There were 8 cases of no neoplasm, 9 cases of CIN 1, 17 cases of CIN 2, 74 cases of CIN 3, 10 cases of microinvasive cervix cancer, and 2 cases of adenocarcinoma in situ. HPV DNA before LLETZ procedures was found about 85.0% and subtype 16 was the most common type among the patients with cervical lesion (40.8%). After LLETZ, 190 HPV typing were done through 1,307 total months (average, 6.9 months/typing). 95 (79.2%) cases had negative results, and 25 (20.8%) cases had positive results. Our data showed that, after conization, about 80% turned out to negative in 6 months. Conclusion: Our data suggested HPV DNA testing should be done after 6 months of LLETZ, as about 80% were destined to negative in 6 months.
최근 7년간(1992-1998) 한국에서의 임신성 고혈압증 환자에 대한 임상적 고찰
변지수(Jee Soo Byun),정진(Jin Jung),김석모(Suk Mo Kim),김윤하(Yoon Ha Kim),송태복(Tae Bok Song) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.12
Objective : The purpose of this study was to analyse epidemics and treatment modality of PIH in Korea during 7 years(1992-1998). Methods : A questionnaire survey about clinical study of PIH was sent to ninety-nine hospitals at a teaching institution and forty-nine of which responded. We analyzed data from respondent hospitals and the results are reported. Results : The incidence of PIH was 3.94% of total deliveries: mild preeclampsia(42.7%), severe preeclampsia(40.3%), hypertension alone(14.8%) and eclampsia(2.12%). PIH was common in the age group of 23-30years and in gestational age of 37-40weeks. The rate of vaginal delivery was 42.1%: spontaneous(14.7%), inducted(27.4%) but, the rate of cesarean section was 57.9%: elective(39.4%), emergent(18.5%). As maternal complications, placenta abruption(4.0%), pulmonary edema(3.4%) and maternal death (0.1%) were developed. As fetal and neonatal complications, intrauterine growth restriction( 23.3%) and stillbirth(1.59%) were developed. Many hospitals monitored blood pressure to predict PIH early and individualized the management of mild preeclampsia between admission and outpatient management after careful initial assessment. When PIH was severe to warrant immediate delivery, 27 hospitals(60%) induced labor before considering cesarean section. The drugs for control of hypertension were hydralazine (95%), calcium channel blocker (48%) and the drugs for prevention of convulsion were MgSO4 (80%), diazepam and barbiturate. Conclusion : With the general improvement of medical environment, the incidence of PIH in our country was decreased and even though the PIH was developed, maternal and perinatal mortality, morbidity were decreased too. However, once preeclampsia has been diagnosed, treatment options are limited. Therefore much attention should be focused on the development of various preventive strategies and early detections.
초음파의 형태학적 검사와 혈청 CA-125를 이용한 난소암의 진단
최진,최호선,김석모,김기민,변지수 대한부인종양 콜포스코피학회 2000 Journal of Gynecologic Oncology Vol.11 No.3
Objective: The object of this study was to compare the diagnostic accuracy of a sonographic morphologic scoring system, the serum CA-125 assay, and a combination of both in patients undergoing laparotomy for a clinically diagnosed adnexal mass. Methods: In 129 consecutive patients, the morphology of the mass was evaluated and scored by the morphologic scoring system of Sassones using transabdominal or transvaginal sonography and blood samples were obtained for CA-125 assay before planning surgery. Results: The sensitivity of the sonographic morphologic scoring system was 90.6%, the specificity 84.5%, the positive predictive value 65.9%, and the negative predictive value 96.5%, compared with 68.8, 77.3, 50.0, and 88.2% for CA-125 and 96.9, 66.0, 48.4, and 98.5% for the two tests combined, respectively. Only one case of serous borderline ovarian tumor was missed when the two tests were combined. The sensitivity and mean value of the serum CA-125 increased with the stage of ovarian cancer. Conclusion: The combination of sonographic findings with a serum CA-125 assay was more sensitive, but less specific, than sonography or the serum CA-125 assay alone in predicting the malignancy of an adnexal mass. The serum CA-125 level generally reflected the stage of the disease. We think that it is reasonable to check the serum CA-125 only in cases of ovarian malignancy diagnosed by sonography.