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단일 융모막 쌍태아에서 한쪽 태아의 터너 증후군 증례 보고
장정희 ( Jeong Hui Jang ),경규상 ( Kyu Sang Kyeong ),홍덕호 ( Deok Ho Hong ),홍승화 ( Seung Hwa Hong ),지일운 ( Il Woon Ji ),정은환 ( Eun Hwan Jeong ) 대한주산의학회 2014 Perinatology Vol.25 No.4
Monochorionic twins with discordant karyotypes are rare and mostly caused by post-zygotic mitotic nondisjunction. A 32 year old nulliparous woman at 11 weeks of gestation with spontaneous twin pregnancy wasreferred to our hospital. An amniocentesis was performed in both amniotic sacs at 15 weeks of pregnancy. Onefetus in monochorionic twin pregnancy was diagnosed with Turner syndrome with cystic hygroma, and theother fetus was normal. Because of high mortality rate in abnormal fetuses, the umbilical cord coagulation wasperformed using radiofrequency ablation to prevent the damage of co-twin that may be caused by the demiseof one fetus. After delivery, chorionicity of placenta was ascertained by pathologic exam. Postnatal findings ofphysical exam, abdominal and brain sonography were normal in the surviving neonate.
김유래 ( Yu Re Kim ),김만기 ( Man Gi Kim ),경규상 ( Kyu Sang Kyeong ),조아라 ( A Ra Jo ),홍승화 ( Seung Hwa Hong ),박연진 ( Yeon Jin Park ),지일운 ( Ill Woon Ji ),정은환 ( Eun Hwan Jeong ),김학순 ( Hak Soon Kim ),이옥준 ( Ok Jun L 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.9
Large cell neuroendocrine carcinoma of the uterine cervix is a rare and highly aggressive cervical neoplasm. Metastases and recurrences of the tumor are common. Cervical large cell neuroendocrine carcinomas are distinctive cervical carcinomas that are frequently misdiagnosed and have unfavorable prognosis. So prudential care must be considered for proper diagnosis and multimodal treatment may be required for better survival. We experienced one case of large cell neuroendocrine carcinoma accompanied with adenocarcinoma of the uterine cervix in 52 year old woman. The uterine cervix covered and infiltrated with adenocarcinoma cells and attached polypoid mass (3.2×2.1 ㎝) composed of large cell neuroendocrine carcinoma cells. The diagnosis was confirmed by immuno-staining using cytokeratin (+), synaptophysin (+), chromogranin (+), neuron-specific enolase (+), CD 56 (+), and vimentin (-). So we report the case with brief review of the literature.