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폐경여성의 난소에서 발생한 양성 및 악성종양에 관한 임상적 고찰
최승도 ( Seung Do Choi ),배동한 ( Dong Han Bae ),선우재근 ( Jae Gun Sunwoo ),정성윤 ( Seong Yun Jeong ) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.7
Objective :This study was performed to compare the clinical characteristics of benign and malignant tumor in postmenopausal woman. Methods :We reviewed the chart of 91 postmenopausal women over 50 years of age, operated and confirmed by postoperative histopathologic study at Department of Obstetrics and Gynecology, Soonchunhyang Chunan Hospital, from January 1st 1995 to December 31th 1998. Results . Benign ovarian tumor was found in 85.7% (78 cases) and malignant ovarian tumor was found in 14.3% (13 cases). Age distribution of malignant ovarian tumors showed the highest frequency in the age group 61-65 years compared to benign ovarian tumor. In the larger than 10 cm in tumor size, there were 7 benign (58.3%) and 5 malignant (41.7%) lesion. There was no evidence of malignant tumor according to the parity. In malignant lesion, stage I was seen in 15.4%, stage II in 30.7%, stage III in 7.7%, stage IV in 23.0% and unexplored in 23.0%. Tumor marker of CA 125 in malignant lesion was increased in 69.2%. As the subjective symptoms of benign lesions, no symptom was noticed in 38.4%, but in malignant lesions, lower abdominal pain was noticed in 38.4fo as the most common. Bilaterality in benign lesions was noted in 29.4% and the same in malignant lesions was 15.3%. Conclusions :Considering the above results, as the tumor size increases, the risk of malignancy increases.
최승도 ( Seung Do Choi ) 대한폐경학회 2012 대한폐경학회지 Vol.18 No.2
Ezrin은 세포골격 연결 단백질로 세포의 수축요소와 막투과단백질 사이를 연결하여 세포 형태, 운동성, 세포와 세포사이 상호작용을 조절한다. 이러한 기전을 통해 ezrin은 암의 진행과 원발성 전이에 중요한 역할을 할 것이라고 생각한다. 이에 더해, 유방암, 대장암, 골육종, 전립선암과 같은 많은 암종에서 높은 농도의 ezrin 발현이 관찰된다. 고농도의 ezrin 발현을 보이는 부인암세포는 ezrin이 저농도로 발현되는 경우보다 좀 더 침습적인 경향을 보인다. 또 ezrin이 높은 농도로 발현되는 것은 진행된 조직학적 등급과 불량한 예후와 관련있다. 최근 몇몇 보고에 따르면 진행된 병기의 암세포와 전이성 부인암 세포에서 ezrin 발현이 증가하고 막부위로의 이동이 관찰되었다. 그러므로, 가까운 미래에 ezrin 농도와 세포내 위치는 부인암 전이의 중요한 인자로 작용할 것이다. Ezrin, a membrane cytoskeleton linking protein, is a member of ezrin/radixin/moesin (ERM) that regulates cell shape, motility and cell to cell interaction via linking the contractile elements of the cell to transmembrane proteins. Ezrin, through this mechanism, has been thought to play an important role in cancer progression and distant metastasis. In addition, high levels of ezrin expression have been noted in many cancers, such as breast, colon, osteosarcoma, and prostate cancer. Gynecologic cancer cells, with high levels of ezrin expression, have more invasive potential than that of the lower levels of ezrin expressed cancer cells. High levels of ezrin expression are also related to the advanced histological grade and poor outcome. Recently, several reports have also demonstrated that ezrin expression is enhanced and almost localized at the membranous portion in high stage tumor cells and metastatic gynecologic cancer cells. Therefore, in the near future, ezrin levels and its cellular location might serve as essential markers for the metastasis of gynecologic cancers.
요실금 환자의 경폐쇄공 질테이프수술 후 반복되는 질 미란의 피부판 이식을 이용한 치료
홍정희 ( Jung Hee Hong ),최승도 ( Seung Do Choi ),김윤숙 ( Yun Sook Kim ),선우재근 ( Jae Gun Sunwoo ),배동한 ( Dong Han Bae ),안형식 ( Hyung Sik Ahn ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.3
Transobturator tape (TOT) as one of midurethral slings is increasingly popular for the surgical treatment of stress urinary incontinence because of low complication rate and short operating time. Vaginal erosion after TOT is generally observed in 0.7%-1.3% of all cases. For preventing complications like vaginal erosion or infection after TOT, subtotal or total excision of mesh materials and use of broad-spectrum antibiotics are recommended. We report our experience with a case of treatment using skin fl ap and foreign body removal of recurrent mesh erosion in TOT.
양측 난소에서 발견된 Malignant mixed epithelial tumor 1예
김권대(Gwon Dae Kim),최승도(Seung Do Choi),배동한(Dong Han Bae),양승하(Seung Ha Yang) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.12
Of all malignancy of the female genital tract, ovarian carcinoma is one of the most common gynecologic fatal tumor. Epithelial tumors were classified according to their predominant histology as transitional cell carcinoma, serous, undifferentiated, or endometrioid carcinoma. Predominant histology was defined as a single pattern that comprised over 50% of the tumor. Tumors with multiple histologic patterns but no predominant type were termed mixed carcinomas. We experienced a case of malignant mixed epithelial tumor comprised mucinous and transitional cell type on both ovaries and report with the brief review of the literature.
폐경 후 여성에서 저용량 성장 호르몬 요법이 골밀도, 인슐린양 성장인자, 악력 및 체지방과 혈중 지질 성분에 미치는 영향에 대한 연구
최홍준 ( Hong Jun Choi ),김윤숙 ( Yoon Sook Kim ),전섭 ( Seob Jeon ),김종수 ( Jong Soo Kim ),최승도 ( Seung Do Choi ),선우재근 ( Jae Gun Sunwoo ),배동한 ( Dong Han Bae ) 대한산부인과학회 2005 Obstetrics & Gynecology Science Vol.48 No.3
Objective: To determine the effect of low-dose growth hormone (GH) replacement therapy on bone mineral density at the lumbar spine and femur, IGF-1, hand grip, body fat and serum lipid compositions in postmenopausal women. Methods: A total of 9 postmenopa
급성 복통을 호소하는 사춘기 여성에서 발견된 낭종성 자궁샘근증 1예
유애리 ( Ae Li Ryu ),전섭 ( Seob Jeon ),김윤숙 ( Yoon Sook Kim ),최승도 ( Seung Do Choi ),선우재근 ( Jae Gun Sunwoo ),배동한 ( Dong Han Bae ),양승하 ( Seung Ha Yang ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.4
Cystic adenomyosis is a rare form of adenomyosis of the uterine myometrium that has been described in older adults. This condition has not frequently been reported in the adolescent girl. The adenomyotic cyst was located within the myometrium of a 15-year-old adolescent girl suffering from acute lower abdominal pain, not dysmenorrhea. After laparoscopic operation, patients`s symptoms improved. On pathology finding, the cyst diagnosed adenomyotic cyst. We report a case of adenomyotic cyst of the uterus in adolescent girl with a brief review of literatures.
김윤숙 ( Yoon Sook Kim ),전섭 ( Seob Jeon ),김종수 ( Jong Su Kim ),최승도 ( Seung Do Choi ),선우재근 ( Jae Gun Sunwoo ),배동한 ( Dong Han Bae ),양승하 ( Seung Ha Yang ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.8
Angiomyoma is a rare, benign, mesenchymal tumor occurring mainly in the female genital tract and higher incidence in the fourth to sixth decades of life. It is originated from smooth muscle cells and contains thick-walled vessels. The most satisfactory treatment is complete excision. We experienced a case of the broad ligamentary angiomyoma that was treated by complete excision with a brief review of literature.
문성택 ( Seong Taek Mun ),김윤숙 ( Yun Sook Kim ),전섭 ( Seob Jeon ),최승도 ( Seung Do Choi ),선우재근 ( Jae Gun Sunwoo ),배동한 ( Dong Han Bae ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.9
Uterine prolapse is extremely rare during pregnancy. However in some cases significant complications such as urinary tract infection, voiding difficulty, abortion, and preterm labor may develop. Conservative management consisted of bed rest and use of a pessary. An elective cesarean section near term is the safest mode of delivery in cases where the cervix is edematous and elongated. We present a case of a patient developing uterine prolapse at 12 weeks of gestation, treated with bed rest and use of a pessary. A repeat cesarean section was performed at 38 weeks of gestation and report with a brief review of literatures.
폐경 전, 후 여성에서 폐경의 예측인자로서 3차원 VOCAL 초음파를 이용한 난소부피 측정의 유용성에 관한 연구
김윤숙 ( Yoon Sook Kim ),전섭 ( Seob Jeon ),김종수 ( Jong Su Kim ),최승도 ( Seung Do Choi ),선우재근 ( Jae Gun Sunwoo ),신영우 ( Young Woo Shin ),배동한 ( Dong Han Bae ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.1
Objective: To evaluate the sensitivity and specificity of ovarian volume using 3D VOCAL and 2D ultrasound, antral follicle count, and age as predictors of menopausal status in pre- and postmenopausal women. Methods: The subjects of this study were premenopausal (n=38) and postmenopausal (n=23) healthy women aged between 35 and 57 years of age who were interviewed about social, demographic, and medical conditions. These women underwent transvaginal ultrasound using 3D VOCAL and 2D probe to determine ovarian volume. Chi-square test was applied to evaluate the correlation between ovarian volume, antral follicle count, age and menopausal status. Receiver operating Characteristic (ROC) curves were elaborated to evaluate the sensitivity, specificity and positive and negative predictive values. Results: Premenopausal women presented larger ovaries than postmenopausal women (p<0.01). Premenopausal women had a higher number of antral follicles than postmenopausal women (p<0.01). ROC curves showed that antral follicle count and ovarian volume using 3D VOCAL transvaginal probe were more sensitive and specific markers of menopausal status than age or ovarian volume using 2D transvaginal probe. Conclusions: Ovarian volume and antral follicle count differ according to age in pre- and postmenopausal women. The data suggest that antral follicle count and ovarian volume using 3D VOCAL transvaginal probe are quite useful in predicting menopausal status.