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캐더린박 ( Katherine Pak ),김수정 ( Su Jung Kim ),임하정 ( Ha Jung Lim ),김은정 ( Eun Jeong Kim ),이원식 ( Won Sik Lee ),오민정 ( Min Jeong Oh ),최준식 ( June Seek Choi ),허걸 ( Kuol Hur ),정상희 ( Sang Hee Jung ),안현경 ( Hyun Ky 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.9
Objective : To determine the frequency of fetal anomaly and perinatal outcome in pregnant women with polyhydramnios. Methods : Ultrasound examinations from January 1998 to August 2001 were reviewed to identify 170 patients with singleton pregnancy which diagnosed polyhydramnios. Frequency of fetal anomaly and perinatal outcomes were compared with amniotic fluid index (AFI) 20.0-25.0 ㎝ as group 1 and AFI >25.0 ㎝ as group 2. Results : The prevalence of polyhydramnios was 0.54% (170/31,358). The types of structural anomalies were gastrointestinal system (10/34, 29.4%), genitourinary system (9/34, 26.5%), central nervous system (CNS, 6/34, 17.7%), cardiovascular system (CVS, 3/34, 8.8%), neuromuscular system (2/34, 5.9%), respiratory system (1/34, 2.9%) and others (3/34, 8.8%). The structural anomaies between two groups were significantly different. The rate of cesarean section, low 5-min Apgar score (<7), large for gestational age (LGL, 95 percentile), Nursery Intensive Care Unit (NICU) visitation and perinatal death were not significantly different between two groups. Conclusion : The prevalence of fetal anomaly was 20% (34/170) and significantly different between two groups (p=0.0143). However, the perinatal outcome was not significantly different between two groups. CNS, gastrointestinal system and CVS anomalies were more frequent in group 2 (AFI>25.0 ㎝) and genitourinary system anomaly was dominant in group 1 (AFI 20.0-25.0 ㎝). Polyhydramnios (AFI>25.0 ㎝) indicated an increased risk of severe fetal anomaly.
이원식(Won Sik Lee),김주명(Joo Myung Kim),심규민(Kuy Min Shim),캐더린박(Katherine Pak),주관영(Kwan Young Joo),이인국(In Kook Lee),김혜선(Hey Sun Kim) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.3
The mature cystic teratoma is most common in the ovary, and several authors have reported mature cystic teratoma in female genitalia such as fallopian tube, uterus and pouch of douglas. The mature cystic teratoma in the douglas pouch is very rare, which was reported only twice in the world. The pathogenesis of the mature cystic teratoma in the douglas pouch is not established. We experienced a case of mature cystic teratoma in the douglas pouch associated with pregnancy, which was diagnosed by the ultrasonography at the first trimester of pregnancy and remained at the third trimester of pregnancy without change of size. We report the case with a brief review of literature.
캐더린박,김태진,정환욱,김혜선,이기헌,박종택,심재욱 대한부인종양 콜포스코피학회 2002 Journal of Gynecologic Oncology Vol.13 No.3
자궁내막암과 관련된 임신은 드물다. 폐경기 여성과 임신을 원하지 않는 여성에서 자궁내막암의 치료는 전자궁적출술과 양측 난관난소절제술이지만, 젊은 가임기 여성은 보존적 치료로 호르몬요법이 행해진다 26세 불임여성이 본원을 내원하여 자궁내막암 진단을 받은 후 황체호르몬으로 약물 치료를 12개월 동안 받았고 약물 치료 종료 10개월 후 임신이 되었으나 계류유산으로 자궁내막 소파술을 시행한 결과 선암과 임신이 동반되어 있었다. 저자들은 임신과 동반된 자궁내막암의 증례를 경험하였다. Endometrial cancer is primarily associated with postmenopausal women. However, endometrial cancer associated with pregnancy is uncommon. Total abdominal hysterectomy and bilateral salpingoophorectomy are the primary operative procedures for endometrial cancer. The conservative treatment by progestin therapy could be considered to who wished to preserve the childbearing ability. We report a case about a 26-year-old women with focal well differentiated endometrial adenocarcinoma, and she was treated with progestin therapy (megesterol acetate) for 12 months. Thereafter, she was diagnosed with missed abortion and underwent a dilatation and curettage. Pathological examination of the tissue included chorionic villi and focal well differentiated endometrial adeocarcinoma. We have experienced the coexistence of endometrial adenocarcinoma and pregnancy.