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침윤성 자궁경부암 환자의 치료전 개복수술후 조직 병리학적 고위험 예후인자에 따른 보조요법
권자영 ( Ja Young Kwon ),모형진 ( Hyoung Jin Mo ),김상운 ( Sang Wun Kim ),김성훈 ( Sung Hoon Kim ),김수녕 ( Soo Nyung Kim ),박찬규 ( Tchan Kyu Park ) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.9
Objective : To evaluate the efficacy of postoperative adjuvant therapy was evaluated in preventing treatment failure occurring after primary treatment with surgery in early invasive cervical cancer patients associated with histopathologic high risk factors such as lymph node metastasis, either macroscopic or microscopic, parametrial extension, lymphovascular permeation and depth of invasion ≥10 ㎜. Methods : Postoperative adjuvant concurrent chemoradiotherapy (PCCRT), postoperative adjuvant chemotherapy (PCT) or postoperative adjuvant radiotherapy (PRT) alone was administered to the 80 early invasive cervical cancers with at least one of the high risk factors. Each of 61 patients was received three to six cycles of chemotherapy at about 3-weeks intervals. For squamous cell carcinoma, cisplatin 100 ㎎/㎡ Ⅳ, or paraplatin 350 ㎎/㎡ Ⅳ was infused followed by 5-FU 1000 ㎎/㎡ Ⅳ infusion for 5 days. Twenty three patients were treated with PCCRT, 38 patients were treated with PCT alone. And 19 patients received PRT. Results : The five-year survival rate of patients with macroscopic metastasis was 66.7% and 35.7%, in PCCRT and PRT, respectively. With microscopic lymph node metastasis, the 5-year survival rate was 83.3%, 60.0%, and 70.1% in PCCRT, PCT and PRT, respectively. With parametrial extension, the 5-year survival rate was 58.1% in PCCRT. The five-year survival rate of patients with lymphovascular permeation was 100% 90.9% and 66.7% in PCCRT, PCT and PRT, respectively. With depth of invasion ≥10 ㎜, the 5-year survival rate was 100% and 91.3%, in PCCRT and PCT, respectively. Conclusion : PCCRT appears to be superior to PRT or PCT alone in early invasive cervical cancer patients with histopathologic high risk factors.
김세광(Sei Kwang Kim),김재욱(Jae Wook Kim),양영호(Young Ho Yang),김현주(Hyun Joo Kim),모형진(Hyoung Jin Mo),배상욱(Sang Wook Bai),김인규(In Kyu Kim) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.1
45,X/47,XYY mosaicism is a rare sex chromosomal disorder with clinical information limited to 25 cases in the literature. We report an unusual mosaic Turner syndrome case in a 35-year old Korean woman with a phenotypic female, primary amenorrhea, short stature, immature secondary sexual characteristics. Cytogenetic analysis including G- and Q-banding revealed 45,X/47,XYY mosaicism, and SRY gene was demonstrated by polymerase chain reaction(PCR). Prophylactic bilateral gonadectomy was performed because the presence of Y-chromosomal sequences in Turner stigmata may predispose this patient to gonadoblastoma formation.