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정희환(Hee Hwan Chung),이종민(Jong Min Lee),이지성(Ji Sung Lee),김용욱(Yong Yook Kim),노길남(Gil Nam Roh),최유덕(Yu Duk Choi),하승연(Seung Yeon Ha),조현이(Hyun I Cho) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.8
Adenoid basal carcinoma and adenoid cystic carcinoma of the uterine cervix are rare tumors that have often been regarded as a single entity. But adenoid basal and adenoid cystic carcinomas of the cervix differ from each other in their histology, treatment, and prognosis. We experienced 2 cases of these neoplasms, with 1 case in each category. Whereas adenoid basal carcinoma is a slow-growing, locally invasive lesion amenable to simply hysterectomy, adenoid cystic carcinoma is an aggressive tumor associated with regional lymph node involvement and late distant metastases. This study reviews the literature and formulates a program for the management of these rare lesions.
최용민(Yong Min Choi),노성혁(Seong Hyeok Noh),정희환(Hee Hwan Chung),이종민(Jong Min Lee),김용욱(Yong Yook Kim),이선(Sun Lee),김영진(Young Jin Kim),이지성(Jee Sung Lee),황병철(Byung Chul Whang),박찬용(Chan Yong Park),최유덕(Yu Duk C 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.2
Objective: To evaluate how resection margin involvement after LLETZ affect treatment of CIN and microinvasive cervical cancer, and several factors affecting the resection margin involvement. Method: Retrospective analysis was performed in 160 patients that underwent LLETZ at Gachon Medical College, Gil Medical Center from March, 1997 to September , 1998. The several factors affecting the resection margin involvement were analyzed. Result: The following results were obtained. 1. 127 patients were diagnosized finally with CIN, 30 patients with microinvasive SCC and 3 patients with chronic inflammation. 2. The rate of the negative resection margin involvement was 81% and that of the positive was 19%. 3. No case among 129 cases with the negative resection margin had residual lesion, but 9 cases among 31 cases with the positive resection margin had residual lesion. As a whole, the rate of residual lesion was 6.2%. 4. In CIN, 3 cases of 19 cases with the positive resection margin had residual lesion, but none with the negative resection margin had. 5. The degree of histopathology, glandular involvement, menopause, colposcopic evaluation were correlated with the resection margin involvement but delivery mode and HPV infection not correlated. Conclusion: LLETZ is a enough method to reduce unnecessary hysterectomy in the treatment of CIN, if followed up, in spite of the positive resection margin because of low rate of lesidual lesion, and is a effective method in the treatment of microinvasive cervical cancer when the case with negative resection margin and no lymphovascular invasion was followed up.