Advanced Mixed Germ Cell Tumor 1 예

박일수 ( IS Park ),이태호 ( TH Lee ),이영미 ( YM Lee ),남윤성 ( YS Nam ),손효돈 ( HD Sohn ) 대한산부인과학회 1991 Obstetrics & Gynecology Science Vol.34 No.12

난소의 혼합생식세포종은 그 어휘의 혼동으로 인해 분류가 정확치 못하여 실제보다 더 적은 수가 보고되어 왔고 또한 희귀하여 많은 연구가 요구되는 바 현재 그 특성 및 치료방법이 점차 밝혀지고 있으며 그 예후가 개선되고 있어 저자들은 조선대학교 부속병원 산부인과에서 미분화세포종, 내배엽동종, 태생암, 융모상피암으로 구성된 혼합생식 세포종양을 경험하였기에 문헌고찰과 함께 보고흔 바이다. Malignant mixed germ cell tumors of the ovary are those neoplasms composed of more than one malignant germ cell component. We have experienced a case of mixed germ cell tumor composed of choriocarcinoma, embryonal carcinoma and immature teratoma. So we present this case with a brief review of concerned literature.

단일 기형아를 동반한 다태아 임신 1 례

이숙환,곽인평,윤태기,차광열,남윤성 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.4

저자들은 시험관아기 시술로 임신한 산모에서 선택적 유산술후 쌍태아 임신에서 발견된 단일 태아기형 1 례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. When complications arise in a multifetal gestation, management decisions can be very difficult for both parents and physicians because the fates of sibling fetuses are linked. The overall pregnancy outcome for a multifetal gestation appears to be worse when one of the fetuses has a congenital abnormality. The normal co-twin appears to have a higher risk of complications of prematurity because of the presence of an anomalous fetus. This information may affect parents` decisions about management options for the pregnancy. These options include expectant management, selective termination of the anomalous fetus, and termination of the entire pregnancy. We have experienced a case of multifetal pregnancy complicated by single anomalous fetus which was found after selective reduction. So we report this case with a brief review of literatures.

임신과 조기난소부전을 경험한 45 , X/47 , XXX 터너 증후군 1 예

이숙환,곽인평,윤태기,차광열,남윤성 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.7

저자들은 임신과 조기난소부전 병력이 있는 환자에서 핵형검사상 45,X/47,XXX의 터너 증후군을 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Sex chromosome monosomy occurs as monosomy X or Turner syndrome (45,X). Monosomy X is prenatally lethal in most cases, occuring in many cytogenetically abnormal spontaneous abortions. The incidence of monosomy X does not appear to be associated with increased maternal age. It is usually the paternal sex chromosome that is absent, suggesting that nondisjunction in the spermatogonium may be the underlying mechanism in the majority of cases. Monosomy Y is never observed; presumably, the presence of at leats one X chromosome is required for early embryonic development. Females with one extra X chromosome (47,XXX) may be indistinguishable from those with a normal 46,XX karyotype, although decreased fertility and an increased risk for nondisjunction may lead to reproduction problems. Females with more than three X chromosomes (48,XXXX; 49,XXXXX) have an increased incidence of physical abnormalities that may be apparent at birth, and they exhibit varying degrees of mental retardation. We have experienced a case of Turner syndrome which has experienced pregnancy and premature ovarian failure. So we report this case with a brief review of literatures.

원발성 Krukenberg종양 1 례

박일수,이태호,이영미,남윤성,손효돈,이택후 대한산부인과학회 1992 Obstetrics & Gynecology Science Vol.35 No.5

수술시 동결절편검사상 Krukenberg종양으로 진단되어 이후 원발병소에 대한 조사를 하였으나 원발병소를 확인할 수 없었던 원발성 난소 Krukenberg종양이라고 생각되어지는 1예를 경험하였기에 간단한 문헌고찰과 함께 그 증례를 보고하는 바이다. Krukenberg tumor is one of the malignant ovarian cancers, which has characteristic pathologic findings. We have experienced a case of primary Krukenberg tumor that we could not find the primary focus at any other organs. So we report this case with a brief review of concerned literature.

뇌하수체 종양을 동반한 이차성 무월경 1 예

이숙환,곽인평,윤태기,차광열,남윤성 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.6

저자들은 이차성 무월경 환자에서 성장호르몬을 분비하는 선종 ( adenoma ) 으로 의심되는 뇌하수체 종양을 발견하였기에 문헌 고찰과 함께 보고하는 바이다. Secondary amenorrhea is usually defined as the absence of menses for at least 6 months in a woman who previously had been having regular menses, or the absence of menses for 12 months in a patient with a history of oligomenorrhea. Before the differential diagnosis of these patients is considered, thyroid disease, diabetes mellitus, and normal or abnormal pregnancies should be ruled out. After a careful physical examination, the patient can be placed in one of the following categories: those with no clinical findings of galactorrhea or excess of cortisol or androgen, those with galactorrhea, or those with clinical signs of possible cortisol excess (Cushing`s syndrome) and/or androgen excess. Women with amenorrhea and no clinical evidence of cortisol excess, androgen excess, or galactorrhea have either an abnormality in the hypothalamic-pituitary-ovarian axis or endometrial obliteration (Asherman`s syndrome). We have experienced a case of secondary amenorrhea associated with pituitary tumor suspicious of growth hormone-secreting pituitary adenoma. So we report this case with a brief review of literatures.

비만불임여성에서 발견된 흑색극세포증 1 례

이숙환,곽인평,윤태기,차광열,남윤성 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.5

저자들은 비만 불임여성에서 경부후측에 생긴 흑색극세포증 1 례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Acanthosis nigricans[AN] is a dermatopathy with a distinctive appearance that facilitates its diagnosis. Although an external condition, it is associated with a wide variety of less obvious internal conditions, either benign or malignant. Insulin resistance figures prominently in its benign associations and plays a primary role in its development. The development of acanthosis nigricans[AN] in malignant conditions remains to be explained. Acanthosis nigricans[AN] rarely requires treatment, although the underlying condition usually does. We have experienced a case of acanthosis nigricans[AN] in obese infertile woman. So we report this case with a brief review of literatures.

Fitz-Hugh-Curtis 증후군 1 예

이숙환,곽인평,윤태기,차광열,남윤성 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.4

저자들은 난관수종을 동반한 Fitz-Hugh-Curtis 증후군 1 예를 발견하고 시험관 아기에 의한 성공적인 임신을 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Five to ten percent of women with acute pelvic inflammatory disease develop symptoms of perihepatic inflammation --- the Fitz-Hugh-Curtis syndrome. The condition is often mistakenly diagnosed as either pneumonia or acute cholecystitis. Persistent symptoms and signs include right upper quadrant pain, pleuritic pain, and tenderness in the right upper quadrant when the liver is palpated. Liver transaminases may be elevated. Fitz-Hugh-Curtis syndrome develops from transperitoneal or vascular dissemination of either the gonococcus or chlamydia organism to produce the perihepatic inflammation. Currently, chlamydia produces the majority of cases. Other organisms, including anaerobic streptococci and coxsackievirus, have also been associated with this syndrome. Laparoscopy may be useful in the diagnosis of this syndrome. The liver capsule will appear inflamed with classic $quot;violin$quot; string adhesions to the parietal peritoneum beneath the diaphragm. Treatment is the same as the treatment for salpingitis. We have experienced a case of Fitz-Hugh-Curtis syndrome associated with hydrosalpinx and succeeded in pregnancy using in vitro fertilization. So we report this case with a brief review of literatures.

자연유산 환자에서 발견된 류마티스인자 1 예

최동희,윤태기,차광열,한세열,남윤성 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.5

저자들은 류마티스인자 양성을 보인 자연유산 환자 1 예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. It is not clear whether fertility or parity are altered in patents with rheumatioid arthritis. Pregnancy outcome in rheumatoid arthritis is generally good. Although a small number of patients may be positive for antiphospholipid antibody, values tend to be low titer and not generally associated with complications. Most series find no increased risk of spontaneous abortion, premature labor, or difficult delivery. One older report suggested an increased risk of spontaneous abortion prior to diagnosis of clinical disease, and fetal growth retardation has been described in a case of severe rheumatoid arthritis with vasculitis. We have experienced a case of rheumatoid factor detected in spontaneous patient. So we report this case with a brief review of literatures.

성공적으로 임신한 late-onset adrenal hyperplasia 1 예

이숙환,곽인평,윤태기,차광열,남윤성 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.3

저자들은 ACTH 자극검사를 통하여 late-onset adrenal hyperplasia 1예를 진단하였고 glucocorticoid와 serophene으로 성공적인 임신을 경험하였기에 문헌고찰과 함께 보고하는 바이다. Adrenal enzyme deficiencies causing hyperandrogenic symptoms some time after birth have been alternatively called late onset, nonclassical, postpubertal, attenuated, mild, or acquired. Patients previously thought to suffer from the polycystic ovary syndrome(PCOS) and related hyperandrogenic disorders are now being diagnosed as having this genetic disease. By definition, late-onset adrenal hyperplasia is an autosomal recessive disorder causing symptoms in peri-or postpuberty, and all patients demonstrates a normal female external genitalia. We have experienced a case of late-onset adrenal hyperplasia and succeeded in pregnancy. So we report this case with a brief review of literatures.

근무력증을 동반한 조기난소부전 1 예

이숙환,곽인평,윤태기,차광열,남윤성 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.4

저자들은 근무력증을 동반한 조기난소부전 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Premature ovarian failure is a condition causing amenorrhea, hypoestrogenism, and elevated gonadotropins in women younger than 40 years. Although chromosomal and genetic abnormalities, enzymatic defects and iatrogenic agents, including cytotoxic drugs, pelvic irradiation and ovariectomy, have been cited as causes of premature ovarian failure, the most common cause is autoimmuity. We have experienced a case of premature ovarian failure associated with myasthenia gravis. So we report this case with a brief review of literatures.