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김의한,김대중,강상균,양승하,홍기언 순천향의학연구소 1997 Journal of Soonchunhyang Medical Science Vol.3 No.2
In order to observe the expression of bcl-2 and p53 protein in the 29 cases of invasive ductal carcinomas and to evaluate the correlationship between the two results, the author has carried out immunohistochemical staining with mononuclear antibodies against bcl-2 and p53. The results are obtained as follows: 1. bc1-2 showed positive reaction in normal duct, lobule and hyperplastic epithelium, and p53 showed no reaction in the same tissue. 2. In 15 cases of well differentiated type, the bc1-2 was positive in 14 cases (93%), and the p53 was positive only in 4 cases (26%). In 6 poorly differentiated type, the bcl-2 was positive in 2 cases (33%), and the p53 was positive in 3 cases (50%). The relationship between the bcl-2 and the p53 showed that in well differentiated type, bcl-2(+)/p53(-) expression was most commonly observed, while the bcl-2(-)/p53(+) expression was not seen in well differentiated type. 3. The size of tumor appeared to have no direct relationship to bcl-2 and p53 positive rate. 4. The expression of bcl-2 and p53 in intraductal carcinoma portion showed that when intraductal tumor component was positive, the invasive portion tumor cell was also positive. However the bcl-2 positive tumor cells in some intraductal component apeared to be negative in p53. Above findings showed that the bcl-2 protein was more frequently expressed in low grade lesion and the p53 protein was in high grade lesion. Also bcl-2 and p53 positive or negative findings showed different results in the same tumor cells.
자궁 경부 도말표본에서 Chlamydia trachomatis의 양성율에 대한 연구
홍기언,김의한,김민관,양승하,강상균 순천향의학연구소 1995 Journal of Soonchunhyang Medical Science Vol.1 No.1
The uterine cervicitis by chlamydia trachomatis(CT) shows no specific clinical symptoms except mucopurulent leukorrhea, but it causes severe complications such as endometritis, salpingitis, abortion and infertility. Fortunately, the treatment of cervicitis by CT is simple and effective, so that this infection is once diagnosed and then confirmed, the treatment is not difficult. To study the positive rate of CT infection, we collected 65 patients inflicted with mucopurulent leukorrhea in Chonan city. Specimen was collected by swab and for the detection of CT, ELISA was carried out. The positive cases are observed in 15 out of 65 patients (positive rate is 23.1%). This positive rate was rather lower than other reports, however, this results were higher we expected With this result, the clinicians keep in mind the fact that the causes of uterine cervicitis by CT occupy the large proportions as gonorrhea.
부인과 악성종양의 진단에 있어서 세침천자세포검사의 유용성
홍기언(KE Hong),이치훈(CH Lee),문원실(WS Moon),차상헌(SH Cha),허승재(SJ Hur),조태호(TH Cho) 대한산부인과학회 1992 Obstetrics & Gynecology Science Vol.35 No.9
To evaluate the efficacy of fine-needle aspiration in gynecologic oncology, 48 cases of fine-needle aspiration were performed on 46 patients suspected of having primary or recurrent gyneclolgic malignancy. There were 22 positive cases for malignant cell, 22 negative cases, 1 suspicious case and 3 inadequate specimens. Excellent correlation was noted between the cytologic and subsequent histopathologic diagnosis of 22 cases. Among 22 positive results, pathologic esamination showed 9 squamous cell carcinoma, 2 Adenosquamous cell carcinoma, 2 undifferentiated carcinoma, and 9 adenocarcinoma. There was no false positive case, and the sensitivity of the fine-needle aspiration was 84.6%. These data suggest that fine-needle aspiration cytology is a safe and effective method in diagnosis of gynecologic malignancies.
Clomiphene Citrate와 FSH 또는 Clomiphene Citrate와 hMG의 연속병합에 의한 배란유도주기에서 인공수정 후 임신율의 비교
정구성,홍기언,유승환,이현숙,이종인,허영문,전은숙,윤정임,홍정의,이지삼,Jung, Goo-Sung,Hong, Ki-Eon,You, Seung-Hwan,Lee, Hyeon-Sook,Lee, Jong-In,Hur, Young-Mun,Jeon, Eun-Suk,Yoon, Jeong-Im,Hong, Jeong-Eui,Lee, Ji-Sam 대한생식의학회 1999 Clinical and Experimental Reproductive Medicine Vol.26 No.3
Objective: To evaluate the effectiveness of CC+FSH or CC+hMG in intrauterine insemination (IUI) cycles for the treatment of infertility. Method: Patients received daily 100 mg of clomiphene citrate (CC) for 5 days followed by hMG or FSH. A single IUI was performed at 36 h after hCG. Clinical pregnancy was classified if a gestational sac or fetal cardiac activity was seen on ultrasound. Results: The overall clinical pregnancy rate was 19.1% per cycle (17/89) and 21.5% per patient (17/79). More clinical pregnancies were recorded in CC+FSH (23.1%, 6/26) than CC+ hMG cycles (17.5%, 11/63), but this difference was not statistically significant. No differences were found in age, duration of infertility, follicle size, levels of estradiol ($E_2$) on the day of hCG injection and total motile sperm counts between pregnant and non-pregnant groups. However, more ampules of gonadotropins were used in pregnant group than non-pregnant group (p<0.05). Conclusion: Combination of CC and hMG may economically be more effective to induce ovulation for IUI compared to CC and FSH.
Phosphate가 제거된 단순배양액 중 아미노산의 첨가가 체외수정시술 후 임신율에 미치는 영향
이지삼,홍정의,유승환,정구성,홍기언,전은숙,허영문,이종인,Lee, Ji-Sam,Hong, Jeong-Eui,Yoo, Seung-Hwan,Jung, Goo-Sung,Hong, Ki-Eon,Jeon, Eun-Suk,Hur, Young-Mun,Lee, Jong-In 대한생식의학회 1999 Clinical and Experimental Reproductive Medicine Vol.26 No.2
The role of amino acids in culture media for IVF-ET was examined in a total of 76 cycles. Patients received clomiphene citrate (CC) followed by hMG or GnRH-a combined with gonadotropins (FSH/hMG) for controlled ovarian hyperstimulation. Severe male (<$4{\times}10^6$ motile sperm) or age factor (>39 y) patients were excluded in this study. Pregnancy was classified as clinical if a gestational sac or fetal cardiac activity was seen on ultrasound. No significant differences were found in age, duration of infertility, follicle size, the level of $E_2$ on the day of hCG injection, the mean number of oocytes retrieved, total motile sperm count, fertilization rate and the mean number of embryos transferred between bHTF (without amino acids) and mHTF (with amino acids) groups. However, total ampules of gonadotropins were higher (p<0.01) in mHTF group than bHTF group. Significantly (p<0.05) more clinical pregnancies were recorded in mHTF group (13/30) compared with bHTF group (9/46). The multiple pregnancy rates were 11.1% in bHTF group and 7.7% in mHTF group. There were one ectopic pregnancy in mHTF group and one heterotopic pregnancy in bHTF group. Abortion rates were 22.2% in bHTF group and 7.7% in mHTF, respectively. The ongoing pregnancy or livebirth rate was significantly (p<0.05) higher in mHTF group (12/30) than bHTF group (7/46). These results suggest that the addition of amino acids in culture media is essential for culture of zygotes in vitro and adjustment of energy substrates in phosphate-free culture media appears to be beneficial for human IVF-ET procedure.
이치훈(CH Lee),문원실(WS Moon),홍기언(KE Hong),최용귀(YK CHoi),남계현(KH Nam),이권해(KH Lee),조태호(TH Cho) 대한산부인과학회 1992 Obstetrics & Gynecology Science Vol.35 No.1
Defeminization & masculinization is a pathologic state in women manifested by androgen excess. Especially, hypertestosteronism in woman has been used as an ovarian marker of androgen exxcess, due to relatively small direct contribution of adrenal secretion. Mainly, testosterone was excreted by theca cells of ovary under the influence of LH(luteizing hormone). We found a case of premenopausal woman with virilizing symptoms & signs associated with the elavated serum testosterone level, and confirmed the hyperthecosis associated with luteinization & cortical stromal hyperplasia of ovaries by surgical pathologic examination. Thus, we present this case with the postoperative follow-up & with the brief review of the concerned literatures.
인공수정시술주기에서 내인성 LH, GnRH Agonist 및 hCG를 이용한 배란유발후 임신율의 비교연구
이종인,허영문,전은숙,윤정임,정구성,홍기언,유승환,이현숙,홍정의,이지삼,Lee, Jong-In,Hur, Young-Mun,Jeon, Eun-Suk,Yoon, Jeong-Im,Jung, Goo-Sung,Hong, Ki-Eon,You, Seung-Hwan,Lee, Hyeon-Sook,Hong, Jeong-Eui,Lee, Ji-Sam 대한생식의학회 1999 Clinical and Experimental Reproductive Medicine Vol.26 No.3
Objective: This study was designed to evaluate the effects of endogenous LH surge, GnRH agonist (GnRH-a) or human chorionic gonadotropin (hCG) as ovulation trigger on pregnancy rate by intrauterine insemination (IUI). Method: Patients received daily 100 mg of clomiphene citrate (CC) for 5 days starting on the third day of the menstrual cycle followed by human menopausal gonadotropin (hMG) for ovulation induction. Follicles larger than >16 mm in diameter were present in the ovary, frequent LH tests in urine were introduced to detect an endogenous LH surge. Final follicular maturation and ovulation were induced by GnRH-a 0.1 mg (s.c.) or hCG $5,000{\sim}10,000$ IU (i.m.) administration except natural ovulation. Pregnancy was classified as clinical if a gestational sac or fetal cardiac activity was seen on ultrasound. Results: There were no differences in age, duration of infertility and follicle size, but more ampules of hMG were used in GnRH-a group compared to hCG 10,000 IU treated group (p<0.05). Lower level of estradiol ($E_2$) on the day of hCG or GnRH-a injection was observed in hCG 10,000 IU group than other treatment groups (p<0.01). The overall clinical pregnancy rate was 19.8% per cycle (32/162) and 22.2% per patient (32/144). Pregnancy rate was higher in natural-endogenous LH surge group (37.5%, 9/24) than GnRH-a (18.8%) or hCG treated group (20.9% & 13.9%), but this difference was not statistically significant. No patient developed ovarian hyperstimulation. Abortion rate was 22.2% (2/9) in hCG 5,000 IU group. Delivery or ongoing pregnancy rate was 37.5% (9/24), 18.8% (3/16), 16.3% (7/43) and 13.9% (11/79) in endogenous LH surge, GnRH-a, hCG 5,000 IU and hCG 10,000 IU treatment groups, respectively. Conclusion: These results support the concept that use of natural-endogenous LH surge in stimulated cycles may be more effective to obtain pregnancies by IUI than GnRH-a or hCG administration.
문원실(WS Moon),이치훈(CH Lee),홍기언(KE Hong),이해혁(HH Lee),남계현(KH Nam),이동화(DH Rhee),조태호(TH Cho) 대한산부인과학회 1991 Obstetrics & Gynecology Science Vol.34 No.12
Malignant mixed Mullerian tumor(MMMT) is an uncommon tumor containing epithelial and mesenchymal components. According to stromal elements, it is divided to homologous type and heterologous type. MMMT is highly malignant and the prognosis is poor due to frequent metastasis and recurrence. The disease is usually advanced when diagnosed. The 6-year experience at department of Obstetrics & Gynecology of Soonchunhyang University with 4 cases of MMMt were reviewed. The patients had a mean age of 64.8 years. All patients were postmenopausal state. Three patients presented with stage Ⅱ disease, only one case was stage Ⅲ disease. Three patients died of tumor 4,8, and 10 months after operation, respectively. One patient had been alive 8 months after operation. So here we report above cases with brief review of literature.