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복강 내 원인대를 침범한 서혜부 자궁내막증의 완전 절제
임명철 ( Myong Cheol Lim ),최지영 ( Ji Young Choi ),이동옥 ( Dong Ock Lee ),유종우 ( Jong Woo Yoo ),박상윤 ( Sang Yoon Park ),서상수 ( Sang Soo Seo ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.12
Inguinal endometriosis is a rare gynecologic disease. A 43-year-old woman had felt small nodular mass, which causing cyclic groin pain and fluctuation with menstrual cycle. CT scan revealed the extraperitoneal inguinal mass connected to the left round ligament. During the operation, infiltrative fibrotic mass around the inguinal mass could only be excised with wide groin dissection. After dissection of the abdominal muscles, the intraperitoneal mass could be pulled out and excised at the level of the intact round ligament. Histological diagnosis at the excised mass was endometriosis. After the surgery, the pain disappeared completely. We have reviewed published articles concerning inguinal endometriosis. The mechanism of development of inguinal endometriosis seems to be to that of indirect hernia with a difference of disappearing hernia sac resulting from inflammation of endometriosis. About half of the patients revealed periodicity such as cyclic pain or fluctuation of pain with menstral cycle. We describe the complete surgical excision of extraperitoneal inguinal endometriosis connected to round ligament endometriosis. Successful treatment can be achieved with understanding of the pathophysiology and anatomy related to the inguinal endometriosis.
자궁경부암 환자의 임상병리학적 분석 및 예후에 관한 연구
임명철 ( Myong Cheol Lim ),이선경 ( Seon Kyung Lee ),박성재 ( Seong Jae Park ),김승보 ( Seung Bo Kim ) 대한산부인과학회 2005 Obstetrics & Gynecology Science Vol.48 No.2
Objective: The object of this retrospective study was to evaluate the clinical characteristics and prognosis of invasive uterine cervical cancer. Methods: 445 evaluable patients with invasive cancer of the cervix were treated at Kyung Hee Medical Center f
난소암 세포주에서 Topotecan, Cisplatin, Taxol에 대한 화학민감도의 측정과 p53, bcl-2 및 세포고사에 관한 연구
허주엽 ( Huh Chu Yeop ),임명철 ( Lim Myong Cheol ),서병선 ( Suh Byung Sun ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.7
Objective : The aim of this study was to evaluate Topotecan-, Cisplatin- and Taxol-induced apoptosis in five human ovarian cell lines as a measure of chemosensitivity and relationship between apoptosis and p53 and bcl-2 gene expression. Methods : In this study, the author is presenting data on apoptosis induced by Topotecan, Cisplatin and Taxol in five ovarian cancer cell lines, and represent different levels of sensitivities to Topotecan, Cisplatin and Taxol. This study also includes the interaction of these chemotherapeutic agents on ovarian cancer cell lines with respect to the apoptosis and cytotoxicity assay as a quantitative measure of the efficiency of killing. Presence of the p53 and bcl-2 gene product were examined by western blotting. Results : The five cell lines represent various sensitivities to Topotecan, Cisplatin, Taxol (LD_50 range of Topotecan, 30~1000 ng/ml; Cisplatin, 3~10 ㎍/ml, Taxol 5~1000 nm). SKOV-3 represent a resistant cell line which was 2~30 times resistant to Topotecan, 3 times resistant to Cisplatin, and 2~200 times resistant to Taxol when compared to others. Demonstration of apoptosis correlated with the sensitivity of the cell lines to Topotecan, Cisplatin and Taxol for SNU-840 and OVCAR-3. DNA fragmentation of OVCAR-3 was uniformly present when treated with Topotecan, Cisplatin and Taxol, 24 or 48 hours. When sequencing experiments were performed with correlated with cytotoxicity assays, except in SNU-251 cells where no significant difference was observed in different interactions of Topotecan, Cisplatin and Taxol. Pretreatment with Topotecan, Cisplatin at a 24 hour interval resulted in enhanced cytotoxicity. Quantitation of the fragmented DNA correlated with that seen on gel electrophoresis. Conclusion : The study indicate that the ability to achieve significant cytotoxicity by Topotecan, Cisplatin and Taxol may be related to the induction of apoptosis rather than necrosis. However, outcome of these treatments depend on cellular and genetic characheristics.
방사선 치료 후 발생한 자궁의 악성혼합뮬러리안 종양 1 예
염윤석(Yoon Seok Yum),임명철(Myong Cheol Lim),허주엽(Chu Yeop Huh),김승보(Seung Bo Kim) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.12
Mixed mullerian tumors are uncommon tumor and highly malignant containing epithelial and mesenchymal component. Most of these tumors arise spontaneously in the sixth to eight decades of life, but a certain proportion are known to occur in women who have received pelvic irradiation from five to 30 years before for benign or malignant disease. This apparent association has led to the belief that pelvic irradiation somewhat increase the neoplastic potential of the uterine corpus, although the precise role of irradiation in the genesis of uterine neoplasia remain uncertain. We experienced one case of malignant mixed mullerian tumor of uterus developed after pelvic irradiation. So we report the case with a brief review of literature.
최영준 ( Young Joon Choi ),임명철 ( Myong Cheol Lim ),이주희 ( Ju Hie Lee ),허주엽 ( Chu Yeop Huh ),김승보 ( Seung Bo Kim ) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.12
Epidermal inclusion cyst is the one of the common benign tumors of vulvar area. It can result from vulvar skin trauma such as vaginal wall sling operation and female mutilation etc. causing an invagination of squamous epithelium, which then desquamates in
황은주 ( Eun Ju Hwang ),임명철 ( Myong Cheol Lim ),김은나 ( Eun Na Kim ),권영미 ( Young Mee Kwon ),홍은경 ( Eun Kyung Hong ),정대철 ( Dae Chul Jung ),박상윤 ( Sang Yoon Park ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.11
Heterologous sarcomas of the uterus are rare neoplasms. We report a rare case of heterologous uterine sarcoma composed of leiomyosarcomatous and liposarcomatous components with a brief review of literature. A 53-year-old woman had vaginal spotting. The endometrial biopsy performed at a local clinic revealed a high grade spindle cell sarcoma. Pelvis magnetic resonance imaging showed about 5.4 cm sized multiseptated T1 and T2 high signal mass in a uterine fundus without lymph node metastasis or pelvic wall involvement. Total laparoscopic hysterectomy, bilateral salpingo-oophorectomy, pelvic and para-aortic lymph node dissection, and peritoneal washing cytology were performed. Pathologic diagnosis was made as leiomyosarcoma with liposarcomatous differentiation (lipoleiomyosarcoma). The patient received adjuvant postoperative radiotherapy (5040 cGy). Follow up images showed no evidence of disease 8 months after surgery.
박주희 ( Ju Hee Park ),임명철 ( Myong Cheol Lim ),김상욱 ( Sang Wook Kim ),김슬기 ( Seul Ki Kim ),유종우 ( Chong Woo Yoo ),박상윤 ( Sang Yoon Park ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.10
Serous borderline tumors (SBTs) of the fallopian tube are very rare and usually diagnosed incidentally. We present a case of SBTs of left fallopian tube incidentally diagnosed during laparoscopic hysterectomy because of increasing symptomatic myoma. Preoperative abdomino-pelvic CT revealed 6 cm sized myoma in uterus but no gross lesion on both adnexa. Preoperative serum CA 125 was 18.9 U/mL. At laparoscopy a 2.0 cm sized polypoid mass protruding from the ampulla portion of the left tube was found. The contralateral fallopian tube, ovaries and uterus were unremarkable except previous known uterine myoma. Exploration of the abdomino-pelvic cavity has shown no abnormal finding. Intraoperative frozen biopsy to tubal mass suggested borderline malignancy but did not completely rule out tubal carcinoma. So, standard laparotomy staging operative procedures such as hysterectomy, bilateral salpingooophorectomy, omentectomy, lymph node dissection, and appendectomy were performed. Serous borderline tumor limited tube was confirmed in permanent pathology. In English literature, only 7 cases have been reported. And the current case is the first report in Korean as far as we know. Treatment for SBTs of fallopian tube is complete excision like borderline ovarian tumor. Recurrence was not reported with up to 6 year follow up in 7 cases.