유년형 난소과립막 세포종 1예

김민정,허수영,권인,이귀세라,김사진,김진아,남궁성은,박종섭 대한부인종양 콜포스코피학회 2003 Journal of Gynecologic Oncology Vol.14 No.3

난소의 과립막세포종은 성기삭-간질 종양의 3/4을 차지하고 있지만 모든 난소암의 약 2-5% 밖에 되지 않는 드문 종양이다. 유년형 과립막세포종은 성인형 과립막세포종과는 임상적, 병리학적, 생물학적 양상이 서로 다르게 나타나는 특징을 가진다. 초경전의 여아에서 유년형 과립막세포종은 성조숙증을 보이는 난소 종양 중에서는 가장 흔한 원인으로 약 80% 이상에 이르는 것으로 보고되고 있다. 종양의 90% 이상이 조기병기에서 발견되며 예후가 비교적 양호하지만 진행된 병기에서는 불량한 예후를 나타낸다. 저자 등은 최근 유년형 난소 과립막세포종1예를 경험하였기에 간단한 문헌 고찰과 함께 보고하는 바이다. Granulosa cell tumors of the ovary account for 2-5% of all ovarian malignancies but, nearly three-quarters of all sex-cord stromal tumors. Juvenile granulosa cell tumors differ from the adult type in regard to their clinical and pathological features and biological behavior. In premenarcheal girls, these tumors are associated with sexual precocity. About 90% are diagnosed in early stage (FIGO I) with a favorable prognosis. More advanced stages (FIGO II-IV) have a poor clinical outcome. We experienced a case of juvenile granulosa cell tumor and report it with a brief review of literatures.

난소 명세포암의 임상적 고찰

김민정,허수영,이귀세라,김사진,김은중,남궁성은 대한부인종양 콜포스코피학회 2002 Journal of Gynecologic Oncology Vol.13 No.4

목적 : 난소의 명세포암의 임상적 특징을 알아보고자 하였다. 연구 방법 : 1993년부터 2001년까지 가톨릭대학교 부속 8개 병원 산부인과에서 치료받은 23명의 난소의 명세포암 환자들을 FIGO병기, 치료, 생존율을 조사하였다. 결과 : 평균 연령은 47세(범위 36-68세)였으며, Ⅰ기 60.3% (14/23), Ⅱ기 4.4% (1/23) Ⅲ기 34.7% (8/23)이었다. 골반내 종괴의 크기는 5 ㎝에서 27 ㎝ 범위였으며, 이들 중 6명(26%)이 자궁내막증과 동반되었다. 수술을 받은 모든 환자들은 항암 치료를 받았으며, 생존한 환자의 평균 추적기관은 48.15개월(0.9-95.4개월)이었으며, 3년 생존율은 69.5%, 생존기간은 38.6개월이었다. 결론 : 난소의 명세포암은 상피암중 드문 조직학적 형태와 임상적 특징을 보인다. 여러 임상병리학적 예후 인자나 생존율, 항암 화학요법의 새로운 적용과 그 효용성 등과 관련된 결론을 확립하기 위해서는 좀 더 많은 수의 환자를 대상으로 장기적인 연구가 필요할 것으로 사료된다. Objective : The aim of this study is to evaluate the clinical characteristics of clear cell carcinoma of the ovary. Methods : Between 1993 and 2001, 23 patients with clear cell carcinoma of ovary treated in the department of obstetrics and gynecology, Catholic University Medical College were identified and reviewed retrospectively for patient profiles, International Federation of Gynecologists and Obstetricians (FIGO) disease stage, mode of therapy, and length of survival. Results : Median age was 47 years (range 36-68 years). Tumors were 60.9% (14123) stage I, 4.31% (1/23) stage II, 35.2%(8/23) stage III. All patients presented with a pelvic mass ranging in size from 5 cm to 27 cm. Of the patients with clear cell carcinoma, six (26.1 %) had associated endometriosis. all patients underwent cytoreductive surgery followed by postoperative chemotherapy. The median follow up for surviving patients is 48.15 months (range 0.9 to 95.4 months). The overall 3-year survival rates were 69.5%. The survival was 38.6 months. Conclusion : Clear cell carcinoma of the ovary is intriguing histologic type of epithelial cancer and demonstrates a clinical behavior distinctly different from that of other epithelial ovarian cancer. Predictors of survival for patients with clear cell carcinoma of the ovary needs to be further investigated by randomized large number study.

그러나 나는 시인 최승자를 만난 적이 없다

김민정,안규림(사진) 메이데이 2022 Paper Vol.263 No.-

3차원 초음파, MRI 와 분자검사를 이용하여 진단한 치사성 이형성증 1형(Thanatophoric Dysplasia Type 1)의 1예

김민정,김두만,박인양,임현욱,김사진 대한산부인과학회 2007 대한산부인과학회 학술대회 Vol.93 No.-

한국인 여성에서 전산화단층 촬영으로 측정한 질 길이에 대한 연구

김민정,허수영,김은중,김진홍,엄현욱,이지열,김사진 대한산부인과학회 2007 대한산부인과학회 학술대회 Vol.93 No.-

시를 짓고 책을 만든다는 맹렬하고도 유용한 아름다움 : 시인·편집자 김민정

정유희(토론자),김민정(토론자),신영배(편집자),박주호(편집자),주민욱(사진),김민정(사진) 메이데이 2019 Paper Vol.254 No.-

전산화단층촬영을 이용하여 측정한 한국인 여성에서 뼈골반 구조의 차이에 따른 분만방법 비교

김사진 ( Sa Jin Kim ),김장흡 ( Jang Heub Kim ),이대우 ( Dae Woo Lee ),강소연 ( So Yeon Kang ),이해남 ( Hae Nam Lee ),김민정 ( Min Jeong Kim ) 대한산부인과학회 2011 Obstetrics & Gynecology Science Vol.54 No.4

목적: 전산화단층촬영을 시행한 한국인 여성에서 골반뼈구조의 차이에 따른 분만방법의 차이에 대해 연구하고자 하였다. 연구방법: 본 연구는 2006년 3월부터 2008년 5월까지 전산화단층촬영을 시행한 175명의 환자를 대상으로 하였다. 객관적 측정을 위해, 한명의 산부인과 전문의가 시상면에서 출산앞뒤지름, 참앞뒤지름과 빗앞뒤지름을, 관상면에서 가로지름, 궁둥뼈결절사이거리와 궁둥뼈가시사이지름을 측정하였다. 전자궁절제술 또는 자궁에 질환이 있는 환자들은 연구에서 제외하였다. 결과: 총 175명의 한국인 여성을 측정하였으며, 나이 범위는 20-50세, 평균 연령은 37.6±7.4세이었다. 전산화단층촬영을 통해 측정한 궁둥뼈가시사이지름은 질식분만군(n=84)에서는 94.6±7.8 mm, 제왕절개군(n=20)에서는 90.9±6.6 mm이었으며 두 군 간에 통계학적인 차이가 있었다. 결론: 본 연구는 전산화단층촬영을 이용하여 골반구조의 차이를 연구하였으며, 궁둥뼈가시사이지름이 질식분만에 영향을 줄 수 있는 중요한 요소임을 확인하였다. 즉, 골반계측법에서 궁둥뼈가시사이지름은 질식분만과 관계가 있는것으로 보인다. 여러 다양한 요소들이 분만방법에 영향을 줄 수 있으므로 분만에 영향을 줄수 있는 해부학적 구조에 대한 다각적인 연구가 더 진행되어야 할 것이다. Objective: We investigated the structural differences in the pelvic bone architecture of Korean women and their association with the mode of delivery by performing computed tomography (CT) pelvimetry. Methods: This study was conducted on 175 women who underwent CT between March of 2006 and May of 2008. For making an objective assessment, one specialist in obsterics and gynecology measured the obstetrical conjugate, the true conjugate and the diagonal conjugate on the sagittal plane and the transverse diameter, the intertuberous diameter and the interspinous diameter on the coronal plane. The patients who underwent total hysterectomy or those who had a disease of the uterus were excluded from the current analysis. Results: A total of 175 Korean women were examined, and their ages ranged from 20 to 50 years. The mean age was 37.6±7.4 years. The interspinous diameter that was measured on CT scans was 94.6±7.8 mm in the vaginal delivery group (n=84) and this was 90.9±6.6 mm in the cesarean section group (n=20). This difference reached statistical significance. Conclusion: Our study examined the difference in the pelvic architecture with using CT and we found that the interspinous diameter can be the important determinant that affects normal vaginal delivery. Of these pelvimetric parameters, a wider interspinous diameter was significantly associated with vaginal delivery. Multi-displinary approaches are warranted to examine this relation with regard to the various factors that are involved in delivery.

산전 진찰 중 초음파 검사를 통해 진단한 태아 난소 낭종 염전

김민정 ( Min Joung Kim ),신재은 ( Jae Eun Shin ),박인양 ( In Yang Park ),허수영 ( Soo Young Hur ),이귀세라 ( Gui Se Ra Lee ),김은중 ( Eun Joung Kim ),신종철 ( Joung Chul Shin ),김사진 ( Sa Jin Kim ) 대한산부인과학회 2005 Obstetrics & Gynecology Science Vol.48 No.11

Anthropometric Breast Measurement: A Study of 87 nulliparous Korean Female

김사진,이함박,이대우,김명신,김민정 대한산부인과학회 2012 대한산부인과학회 학술대회 Vol.98 No.-

Anthropometric measurements and proportions of the human body have made a significant contribution to the science of aesthetic and reconstructive plastic surgery. The present study was performed to measure anthropometric breast values in Korean female and compare them with those of women in other nations. The study included 87 nulliparous female between the ages of 20 and 50 years with no physical or developmental deformity. A total of 17 parameters were measured in a standing position. The parameters measured were body weight, height, shoulder width, upper chest width, middle chest width, lower chest width, waist width, hip width, clavicle-nipple length, sternal notch-nipple length, nipple-nipple length, upper arm length, medial mammary radius, lateral mammary radius, nipple-inframammary fold length, nipple projection, and mammary projection. Breast volume, breast ptosis, and retracted nipple rates were also assessed. Results: As a result, an average breast volume for Korean women was obtained (Right: 296.3±258.6 cc, Left: 303.0±270.6 cc), and a table with several linear equations for calculating(Table 1,2). The ideal external view of the breasts with equal volume for both sides and no ptosis was observed in 10.9% (n=11, Table 3) of the volunteers. The percentage of women with unilateral or bilateral retracted nipple was 16.1% (n=14). The results of the present study will help in comparing the anthropometric breast values of Korean women with those of women in other countries. They may also be useful either in planning aesthetic and reconstructive breast surgery or in designing breast augmentation accessories and clothing.

The change of Pelvic Floor architecture in Korean women using Three-Dimensional Transperineal Ultrasound

김사진,이함박,김민정 대한산부인과학회 2012 대한산부인과학회 학술대회 Vol.98 No.-

The purpose of this study was to evaluate the morphological characteristics of the change of female pelvic floor architecture during rest and voluntary pelvic contraction that may be further delineated with three-dimensional (3D) transperineal ultrasonography (US) in Korean women. One hundred forty-nine women (aged 22-50 years) were evaluated between 2009 and 2011. To assure objectivity, one gynecologist measured pelvic floor structures during rest and contraction using 3D transperineal US. The multiplanar display of the scanned volumes allowed detailed morphologic assessment of the pelvic floor architectures and the measurement of distances, area and volume of the pelvic floor architectural components. Compared with rest and voluntary pelvic floor contraction, there are no significant differences in pelvic floor architecture except anus. Also there are no differences in delivery mode, but the contractility of vaginal width in the group with a history of cesarean section is statistically significantly different (p=0.016) compared with those with a history of normal vaginal delivery. Parity is associated with change of the anus and contractility of vaginal transverse diameter, but there were no associations of parity with change of other pelvic floor architecture. Our study evaluates the utility of 3D US for measurement of change of pelvic floor architecture during rest and voluntary pelvic floor contraction. And our measurements provide a baseline for which further investigations in a larger cohort of subjects can be compared, to determine the range and change of normal appearance of the specific pelvic structures.