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황은주 ( Eun Ju Hwang ),임명철 ( Myong Cheol Lim ),김은나 ( Eun Na Kim ),권영미 ( Young Mee Kwon ),홍은경 ( Eun Kyung Hong ),정대철 ( Dae Chul Jung ),박상윤 ( Sang Yoon Park ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.11
Heterologous sarcomas of the uterus are rare neoplasms. We report a rare case of heterologous uterine sarcoma composed of leiomyosarcomatous and liposarcomatous components with a brief review of literature. A 53-year-old woman had vaginal spotting. The endometrial biopsy performed at a local clinic revealed a high grade spindle cell sarcoma. Pelvis magnetic resonance imaging showed about 5.4 cm sized multiseptated T1 and T2 high signal mass in a uterine fundus without lymph node metastasis or pelvic wall involvement. Total laparoscopic hysterectomy, bilateral salpingo-oophorectomy, pelvic and para-aortic lymph node dissection, and peritoneal washing cytology were performed. Pathologic diagnosis was made as leiomyosarcoma with liposarcomatous differentiation (lipoleiomyosarcoma). The patient received adjuvant postoperative radiotherapy (5040 cGy). Follow up images showed no evidence of disease 8 months after surgery.
박상원,문우남,변영수,정대철 대한외상학회 1995 大韓外傷學會誌 Vol.8 No.2
The authors analysed 22 cases of tibial pilon fracture at least 1 year follow up, to study relationship bet,ween fracture type, methods of treatment, clinical and radilogic results at Department of Orthopadic Surgery, Korea University Hospital from April 1989 to February 1994. The fracture type according to Ovadia and Beals were classified into five type; 3 cases in type I, 4 cases in type Il, 6 cases in type III, 5 cases in type IV, and 4 cases in type V. The methods of treatment were open reduction and internal fixation in 11 cases, limited open reduction and external fixation in 2 cases, closed reduction and external fixation 2 cases, closed reduction and cast immobilization in 7 cases. The results obtained were as follows. 1. Average time for bone union were 13. 1weeks. In type I, 14.5weeks. In type II, 15. 4weeks. In type III, 16. 1weeks. In type IV and 17. 7weeks. In type V. 2. Overall satisfactory result were 59. 1% in objective evaluation and 68. 1% in subjective evaluation. 3. In the open reduction and internal fixation cases, 72. 7% in objective evaluation and 81. 8% in subjective evaluation were reported as satisfactory result. 4. Satisfactory result were 100% in type I, 100% in type Il, 82.2% in type lll, 40.0% in type IV and 25.0% in type V according to subjective evaluation and 100% in type I, 75. 0% in type II, 66. 7% in type Ill, 40. 0% in type 1Y and 25. 0% in type V according to objective evaluation.