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나준희(JH Na),김종혁(JH Kim),이성한(SH Lee),오혜은(HE Oh),김용만(YM Kim),김영탁(YT Kim),강병문(BM Kang),남주현(CH Nam),목정은(JE Mok) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.3
The use of operative laparoscopy for the management of adnexal mass has increased dramatically with rapid evolution in technology and improved surgical skills in the last few years. Of particular concern is the laparoscopic excision of ovarian neoplasms proven to be malignant during or after laparoscopic surgery. The proper selection of patients is utmost important before laparoscopic surgery, and it has been possible in some aspects with an aid of high-resolution ultrasonography, color Doppler assessment and various serum tumor markers such as CA 125. Indeed, the incidence of encountering unexpected malignancies has been reported to be very low. The potential problems in these cases include inadequate patient preparation, inappropriate surgical procedures, incomplete surgical staging, delay in definite therapy and worsening prognosis by spillage of tumor cells. We analysed our experience of 7 cases of ovarian cancer diagnosed during or after laparoscopic surgery, and obtained the following results; 1. The range of the patients` age was from 25 to 47 years with the average parity of 1.1±0.2 [mean±S. D.]. 2. The mean maximal diameter of the tumors measured by ultrasonography was 11.7 cm [range: 5∼40 cm] and the most of the tumors were semisolid nature containing partly solid area or septa. 3. The preoperative serum CA 125 was checked in 5 cases, and the range was from 4.2 to 721 U/ml. 4. Washing cytologic examination was performed in only 2 cases and showed no malignant cell in both. Frozen section was performed in 6 cases, and 2 cases of malignancy were falsely diagnosed as benign tumors. 5. Management at the time of the initial laparoscopic procedure were unilateral salpingoophorectomy[6 cases] and ovarian cystectomy[1 case]. Laparotomy was performed immediately in 2 cases and after 7 days in 1 case. 6. 57 % [4 cases] of the patients had stage Ia disease and the others had stage Ic, IIc and IIIa diseases. 7. Postoperative chemotherapy was performed in 5 cases including 3 cases of stage Ia diseases. In conclusion, the strict selection criteria using sonographic findings and serum tumor markers and the liberal frozen section should be applied in the laparoscopic management of ovarian tumor. Well-designed prospective study should be performed to evaluate the safety and efficacy of laparoscopic management of ovarian cancer.
오준환(JH Oh),김명철(MC Kim),박기환(KH Park),최종환(JW Choi),양석우(SW Yang),조미연(MY Cho) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.10
The amniotic band syndrome is a collection of fetal malformation associated with mesodermic fibrous bands that appear to entangle or entrap various fetal parts in utero, leading to deformation, malformation, or disruption. In about one third of cases, craniofacial deformities associated with amniotic band. Excencephaly is a precursor of anencephaly in which a large amount of brain tissue is present despite the absence of the calvaria. In exencephaly, destruction and disorganization of the developing brain ultimately result in the development of the anencephaly. We had experienced a case of exencephaly at early midtrimester by the amniotic band and presented with a brief review of literature.
난소와 자궁경부에 동시에 발생한 원발성 악성 종양 1 예
손진희(JH Sohn),오희경(HK Oh),정진선(JS Jung),최윤영(YY Choi),오관영(KY Oh),박춘원(CW Park),이지영(JY Lee),김수연(SY Kim),문혜성(HS Moon),김승철(SC Kim),이시내(SN Lee),한운섭(WS Han) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.9
Synchronous multiple primary neoplasms are diagnosed simulataneously or within a 6 month interval. Simultaneous presentation of carcinomas involving the ovary and the uterus is an uncommon event. The authors experienced a case of simultaneous presentation of an serous cystadenocarcinoma of the ovary and a small cell carcinoma of the uterine cervix. So, we present the case with a review of the literature.
오주환(JH Oh),민지영(JY Min),박창민(CM Park),고일영(IY Ko),서경용(KY Suh),노인화(IH Roh),심재식(JS Shim) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.9
Objective: To assess the rubella specific immune status of a group of Korean pregnant women. Methods: Between June 1995 and May 1996, the seroprevalence of rubella was determined in the study group that consistss of 132 pregnant women who had visited Korea Veterans Hospital in Seoul for prenatal care. We checked the rubella specific IgG and IgM antibody titer of the womens sera by ELISA. We also asked the past history of the rubella infection, rubella vaccination, parity, womens age and gestational age. Results: A total of 19(14.39%) pregnant women were found to be susceptible to rubella infection and the seropositive rate was 85.61% in them. And mean IgG antibody titer was 53.40 IU/ml. And, IgM positive rate was 0.81%, negative rate was 99.19% and mean titer was 2.97 aU/ml. Among them there were no one who had taken vaccination and no one suffered from rubella infection. And, there were no statistically significant differences of IgG positive rate according to age, gestational age and parity. Conclusion: With such a high susceptibel density of pregnant women in comparison to developed countries, the vaccination against rubella should be enforced more actively in order to prevent possible outbreaks of the congenital rubella syndrome.
점상연골 이형성증 ( Rhizomelic Type ) 1 례
오도산(DS Oh),김형석(HS Kim),고경수(KS Ko),박정희(JH Park),박종두(JD Park),이준형(JH Lee),이의진(EJ Lee) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.7
Chondrodysplasia Punctata has been reported recently by an antenatal sonographic findings. It is a rare congenital disorder of bone in infant, which is characterized by radiographic manifestation of premature depositionof punctata calcific density in epiphyseal area, preformed in cartilage. Chondrodysplasia punctata has two different types: a rhizomelic, and nonrhizomelic type(Conradi-Hunermann syndrome). We present a case of rhizomelic chondrodysplasia punctata which has been delivered by Cesarean section.
오혜숙(HS Oh),나주환(JH Na),황병철(BC Whang),박지홍(JH Park) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.9
단안증에 다발성선천성기형을 동반한 기형아의 1 예 Cyclopia is a rare congenital fetal ocular anomaly in which the eyes are fused together and located in a single orbit It is commonly associated with other congenital anomalies such as omphalocele anencephalus polydactyly and etc and these serious malformations make it inadequate to survive We presented a case of cyclopia associated with multiple congenital anomalies with a brief review of the literature.