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김슬아 ( Sul Ah Kim ),박동춘 ( Dong Choon Park ) 대한산부인과학회 2011 Obstetrics & Gynecology Science Vol.54 No.9
A case of a moderate differentiated endometrial carcinoma of the uterus with a synchronous poorly differentiated bladder cancer is reported. A review of the literature revealed that simultaneous presentation of primary endometrial and bladder neoplasm is rare and usually related to low-stage bladder lesions in contrast to our case with undifferentiated and the deep myometrial invasion of bladder lesion. A 79-year-old woman with endometrial cancer stage IB was performed of total abdominal hysterectomy with bilateral salpingo-oophorectomy, pelvic and para-aortic lymph nodes dissection and adjuvant concurrent cisplatin-radiation therapy. After treatment, she complained intermittent gross hematuria. She was performed the bladder mucosal biopsy and finally diagnoses with poorly differentiated carcinoma of bladder. She received transurethral resection of bladder tumor alone without total cystectomy or any other adjuvant treatment due to her refusal. Her condition is tolerable except intermittent hematuria and anemia.
약물치료의 예후가 불량한 나팔관임신에서의 초음파 유도하 임신낭내 methotrexate 주입법을 이용한 보존적 치료 2예
황선정 ( Sun Jung Hwang ),이수정 ( Soo Jeong Lee ),김슬아 ( Sul Ah Kim ),최정인 ( Jeong In Choi ),신종철 ( Jong Chul Shin ),최세경 ( Sae Kyung Choi ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.11
Ectopic pregnancy occurs in about 2% of pregnant women, and may seriously compromise women`s health. Extra uterine implantation can occur anywhere along the reproductive tract with the most common implantation site in the fallopian tube. At early stages of presentation where the risk of rupture of a tubal pregnancy is minimal, medical therapy using methotrexate (MTX) given systemically or injected directly into the ectopic pregnancy is an option occasionally used with good results. In addition, ultrasound technology, particularly the introduction of high-resolution transvaginal probes, has been the driving force behind the revolutionary change towards conservative management strategies in ectopic pregnancy care. Tubal pregnancy can be successfully managed without surgical intervention through local injection of MTX. This treatment not only ablates the ectopic pregnancy but also preserves the salpinx without systemic side effect. In this report, we present two cases of tubal pregnancy which treated successfully with ultrasound-guided intraamnionic MTX injection.
이수정 ( Soo Jeong Lee ),박성택 ( Sung Taek Park ),최정인 ( Jeong In Choi ),허수영 ( Soo Young Hur ),김원 ( Won Kim ),김슬아 ( Sul Ah Kim ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.12
Primary malignant melanoma of the vagina is extremly rare disease. This disease is one of non-cutaneous melanomas and accounts for 0.3% of all malignant melanomas. The most common symptoms is vaginal bleeding because the disease is usually in advanced stage at first visit. An appropriate and effective treatment protocol has not been established. The prognosis is poorer than those of other vulvar melanomas. It has been known the tumor size is the most important prognostic factor determining the survival outcome. We reported two cases of primary malignant melanoma of the vagina with review of literature.