단안아의 1예

한광수(KS Han),이태(T Lee),장성규(SK Chang),제구화(KW Je) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.5

저자들은 1976년 11월7일에 21세의 초산부 백인 여자에서 양수과다증 및 소두증을 동반한 남자 단안아 1예를 경험하였기에 간략한 문헌고찰과 아울러 증례를 보고하였다. A case of cyclopia in an American white woman of the first pregnancy is presented with a brief review of literature available.

자궁내 피임장치와 동반된 골반 방선균증 1 례

손성대(SD Son),박근식(KS Park),정주섭(JS Chung),한광수(KS Han),배국환(KH Bae) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.1

저자들은 7년간 자궁내 피임장치를 사용한 여성에서 진행된 난소암을 의심하고 개복수술을 시행한 결과 병리조직학적소견상 방선균증으로 판명된 1례를 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다. Actinomycosis is a chronic suppurative and granulomatous disease characterized by peripheral spread and extension to contiguous tissue, rare hematogenous spread, and the formation of multiple draining sinus tracts. Pelvic actinomycosis is being reported with increasing frequency in association with intrauterine contraceptive devices, and the most common oranism is Actinomyces israelii. The inflammatory changes created may fool the examiner into believing that the findings are due to advanced cervical or ovarian cancer. We experienced a case of pelvic actinomycosis associated with an intrauterine contraceptive device(Cu-T) and report on it with a brief review and related literature.

조산 위험도의 소급적 분석

김광원(KW Kim),최원배(WB Choi),한광수(KS Han),김현찬(HC Kim) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.6

Based upon the PREP scoring system, retrospective clinical analysis was attempted on 145 cases of spontaneous preterm delivery which had occurred during the period of 22 months from September, 1, 1982 to June, 30, 1984. The results obtained were followings: 1. The incidence of spontaneous premature delivery was 5.9% and early perinatal death was 35.2%. About two third(62.2)% of all perinatal death occurred in premature group. 2. The malority(92.4%) was belong to PREP score 11 or more and only 7.6% was in PREP score 10 or less. 3. The relationship between the last PREP score and newborn weight, and that of gestational weeks showed slight inversed tendency, respectively. 4. The predictable value of PREP score system seemed to be higher in primipara than multipara if the PREP score were under 20. 5. The relatively important constant risk factors were previous curettage, 2nd trimester abortion, preterm delivery, low socioeconomic state and short pregnancy interval. 6. The most important variable risk factors were uterine contraction and dilatation of cervix, and other factors were in order of unsuitable living quarters, poor weight gain, signs of preeclampsia, and anemia. 7. The causes of spontaneous preterm labor were in order of PROM(34.5%), unknown(24.1%), previous preterm delivery or late abortion (11.7%), faulty placentation (10.3%), and twin or hydramnios(7.6%).

액와부에 생긴 태아 낭상임파종의 1 례

한광수,주계원,정재환,이성욱,박윤희 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.9

Fetal cystic lymphangioma or Cystic hygroma is a benign, painless, soft, compressible malformation of the lymphatic system appearing as single or multiseptated fluid-filled caviti-es. The term of cystic hygroma is most commnonly used to describe a cystic thickening in the neck region, also called cystic hygroma colli. The head and neck region is the most comm-on place of presentation. They are thought to arise from failure of the lymphatic system to communicate with the venous system in the neck. If such communication fails to develop, the jugular lymphatics and lymphatc sacs dilate, resulting in the formation of cystic hygroma. They often progress to hydrops and cause fetal death. Fetal lymphangiomas can occur in many different anatomic locations. From 75 to 95% of postnatally diagnosed cystic hygromas are found in the neck, and about 20% are located in the axilla. Recently, we have experienced a case of fetal axillary cystic lymphangioma at 36 weeks of gestation observed in 30-year-old multiparous woman, and report that with brief review of related literature.

원발성 태아 부정맥 7 예

한광수,박성철,이영미,정재환,이성욱,박윤희,배은정 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.7

심방 및 심실조기수축증은 치료 없이 분만 후 소실되었으며, 상실성 빈맥과 Wolff-Parkinson-White(WPW) Syndrome이 동반된 심방조동환자는 Digoxin 으로 성공적으로 치료되었다. 결론적으로 6예는 분만 후 별 문제 없이 성장하였으며, 1예의 환아는 Wolff-Parkinson-White(WPW) Syndrome으로 진단되어 지속적인 치료가 요구되었다. 태아 부정맥은 심초음파검사로 정확한 진단이 가능하며, 필요한 경우 적절한 약물치료로서 자궁내 태아에게 직접적인 약물치료도 성공적인 경우가 많으므로 산부인과 의사와, 소아심장 의사의 공동치료를 요한다. 저자들은 산전 진찰시 원발성 태아 부정맥 7예를 경험하였으며 문헌 고찰과 함께 보고하는 바이다. Seven cases of fetal arrhythmia had been seen over 2-years. These are 6 cases of tachyarrhythmia: which included 2 case of paroxysmal supraventricular tachycardia, 1 atrial flutter, 1 premature ventricular contration, 2 premature atrial contractions. 1 had sinus bradycardia. Among these, Six cases had structurally normal heart and 1 cases had Ostium secundum type of Atrial septal defect. 6 cases have remained well and are now off treatment and 1 case has Wolff-Parkinson-White (WPW) syndrome. The careful assessment and management of a fetal arrhythmia may lead to a successful outcome. Recently, we have experienced seven cases of fetal arrhythmia, so we report these 7 cases with a brief review of related literature.

난소의 저등급 악성 혼합성 Mu¨ller종양 (선육종) 1 례

배국환,한광수,김재찬,정종태,박근식 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.2

저자들은 최근 48세 경산부에서 발생한 난소의 선육종 1례를 경험하여 수술요법 및 복합화 학요법을 시행중에 있는 바 이에 대한 문헌고찰과 함께 보고하는 바이다. Low grade vareiants of malignant mixed mullerian tumor of the ovary (adenosacroma) is rare neosplasm composed of benign epithelial element and malignant stromal element which is classified as homologous or heterologous based on the nature of sarcomatous element. Adenosarcomas are characterized mostly by a low malignant potential, manifested predominantly by local recurrence. Thus, this neoplasm should be distinguished from carcinosarcoma and mixed mesodermal tumor in which the epithelial as well as the stromal component is malignant and the prognosis is much more grave. We experienced a case of adenosarcoma of the ovary which was homologous type. So we present here with a brief review of the literatures.

Krukenberg 종양 11 예에 대한 임상적 고찰

배국환,한광수,박정실,배임철,이환우,박재홍 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.6

저자들은 1988년 1월부터 1997년 12월까지 만 10년 동안 부산 메리놀병원 산부인과에 난소종양으로 진단되어 수술 후 병리학적 검사 결과 krukenberg 종양으로 진단받은 11예의 환자에서 다음과 같은 결과를 얻었다. 1. 발생 빈도는 전체 난소종양 중 2.06%, 난소의 악성 종양 중 8.66%였다. 2. 환자의 연령은 26∼65세 사이에 고른 분포를 보이 며 평균 연령은 46.5세이었다. 3. 가장 흔한 증상은 복부 종괴였고 다음으로 복부팽 만, 상부 위통증, 복부 통증, 변비, 빈뇨, 부정자궁출혈의 순이었다. 4. 복수는 11예 중 10예에서 존재하였으며 그 양은 소량에서부터 5,000 ml 이상인 경우까지 다양하였다. 양 측성이 6예, 일측성은 우측이 3예, 좌측이 2예 있었다. 난소의 크기는 장지름이 6∼15 cm인 경우가 8예로 가장 많았으나 각 예마다 아주 다양하였다. 원발성 병소는 위 암이 10예, 대장암이 1예였다. 5. 평균 생존 기간은 7.68개월이었다. 1) cisplantin을 포함한 복합항암요법으로 치료한 예의 평균 생존 기간이 12.9개월, cisplantin을 포함하지 않은 화학요법에서는 4개월의 평균 생존 기간을 보였다. 2) 전자궁적출술과 양측 부속기 절제술은 14.7개월, 조직생검만 시행한 경우에는 2.5개월의 생존기간을 나 타내었다. 3) 원발 병소를 먼저 수술한 경우 평균 생존 기간이 10.5개월, 원발 병소를 수술하지 못한 경우는 3.4개월의 평균 생존 기간을 나타내었다. 4) 1예(38개월 생존)를 제외한 9예에서 12개월 이내 에 사망하였고 1예는 현재 생존하여 수술 후 11개월째 로 복합항암요법으로 추적 관리중에 있다. 이상의 결과로 저자들은 위암으로 진단된 여성의 경 우 난소에 대한 정밀검사가 중요하고, 수술중 동결절편 에서 전이성 난소암이 확인된 경우는 전자궁적출술과 양측 부속기절제술을 시행하고 원발병소의 제거와 수술 후 cisplantin을 포함한 복합항암화학요법이 필요하다고 사료된다. We reviewed 11 cases of Krukenberg tumors which had been treated at the department of Obstetrics & Gynecology, in the Maryknoll Hospital from January 1988 to December 1997. Eleven Krukenberg tumors among 127 cases of ovarian cancers were found in the hospital records for a 10 year period. The results obtained were as follows: 1. The incidence of Krukenberg tumor was 2.06% among all ovarian tumors (533 cases) and 8.66% among malignant ovarian tumors (127 cases). 2. The age of the patients ranged from 26 to 65 years, and the mean age was 46.5 years. 3. The most common symptom was palpable abdominal mass, followed by abdominal pain with distension, epigastric pain, and other gastrointestinal symptoms. 4. Among 11 cases of Krukenberg tumor, 10 cases had ascites, but the volume of ascites was variable. Bilateral involvement was shown in 6 cases and unilateral involvement in 5 cases. The size of the tumors were variable. The primary sites of these tumors were the stomach in 10 cases and the colon in 1 case. 5. The mean survival period for 11 patients was 7.68 months. (1) The mean survival period of the patients who had been treated with a cisplatin based chemotherapy regimen was 12.9 months, that of the patients who had been treated with a non-cisplantin based regimen was 4 months. (2) The mean survival period of the patients who had total abdominal hysterectomy with bilateral oophorectomy was 14.7 months, and the survival period of the patient who had only ovarian biopsy was 2.5 months. (3) When the operation for a primary lesion was performed, the mean survival period was 10.5 months but the mean survival period was 3.4 months without an operation. (4) Nine patients died within 1 year and one patient died after 38 months. One woman is still alive for 11 months. In conclusion, we think that the further evaluation of the ovary is necessary in stomach cancer of the women. In view of this, we conclude that it would seem worthwhile to consider removal of the primary lesioin case of metastatic cancer and furthermore, postoperative cisplantin based combination chemotherapy are necessary.

자궁내장치와 병발된 원발성 난소임신 1 예

배국환,한광수,김재찬,배임철,이환우,채인석 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.6

저자들은 최근 본원 산부인과에서 부인과 영역에서 비교적 드문 자궁내장치와 병발된 난소임신 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Primary ovarian pregnancy with intrauterine device is a rare form of ectopic pregnancy. It is unclear whether the use of an intrauterine device predisposes to ovarian pregnancy. Recently, we have experienced a case of ovarian pregnancy with intrauterine device and reviewed it briefly.

질 평활근종 1 례

배국환,한광수,박근식,손성대,김상국 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.3

저자들은 46세 여성에서 질 전벽에 발생한 평활근종 1례를 경험하였기에 간단한 문헌 고찰과 함께 이를 보고하는 바이다. The leiomyoma of the vagina is a rare benign tumor. It consists of both fibrous and muscle elements. The most frequent location is the anterior vaginal wall. Recently we experienced a case of vaginal leiomyoma arising in the anterior vaginal wall and now we present it with a brief review of the case and its literature.