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고양순(Yang Soon Ko),홍민(Min Hong),차동수(Dong Soo Cha),한혁동(Hyuck Dong Han),이영심(Young Sim Lee),김영주(Young Ju Kim),송지선(Ji Sun Song),정순희(Soon Hee Jung) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.10
Uterine myomas are the most common benign tumor of the female genitalia tract. Traditional therapy for symptomatic fibroids has been either myomectomy or hysterectomy, depending on whether further fertility is desired. Myomectomy is a surgical alternative, it is associated with greater morbidity and a higher blood transfusion rate. Arterial embolization of myomas is non surgical treatment option, is cheaper than myomectomy, permits preservation of reproductive potential, may be associated with less morbidity than myomectomy, and may not cause adhesions which could compromise fertility. A promised new alternative therapy-embolization of the uterine arteries is now available. A 26 year-old woman was diagnosed as submucosal uterine fibroid by ultrasonogram. We have recognized uterine arterial embolization is an effective therapy in the management of symptomatic myomas. Now we report vaginal passing of uterine fibroid after uterine arterial embolization.
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이영진,차동수,최현일,양석우,정인배,조미연,고양순,김광국 대한부인종양 콜포스코피학회 2000 Journal of Gynecologic Oncology Vol.11 No.3
Dysgerminoma developed in a 21-year-old phenotypic female patient with 46,XY pure gonadal dysgenesis, Swyer syndrome. This patient presented with pelvic mass associated with abdominal pain and primary amenorrhea. Clinical characteristics showed a typical stigmata of gonadal dysgenesis: primary amenorrhea, sexual infantilism, a small uterus and left streak gonad. A 46,XY karyotype was made by lymphocyte culture. The patient was counseled to undergo operation, chemotherapy and hormon therapy. She underwent bilateral gonadectomy with total hysterectomy, partial omentectomy and multiple pelvic wall random biopsy. Histological examination revealed dysgenetic gonads with dysgerminoma. After surgery, the patient received chemotherapy and also was started on hormone replacement therapy. She is currently alive with no evidence of disease after 19 months from surgery.
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자궁 근종의 동맥색전 치료술 후 임상적 반응에 대한 평가
김영주,차동수,최현일,홍민,정인배,이영심,고양순 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.1
목적 : 증상이 있는 자궁 근종의 일차적 치료 방법으로써 자궁 동맥 색전술의 효과를 알아보고자 하였다. 연구 대상 및 방법 : 자궁 근종으로 인해 월경 과다, 근종으로 인한 압박 증상이 있는 23명의 환자(나이 분포:27-50세)에게 자궁 동맥 색전술이 시행되었다. 이 치료에 대한 효과와 환자의 만족도를 평가하기 위해서 동맥 색전술 시행 3개월후에 외래에서 추적하였다. 결과 : 비정상 출혈이 있었던 18명의 환자중 16명(89%)이 정상적인 월경 주기를 되찾았으며, 근종으로 인한 압박 증상을 호소하던 11명의 환자 가운데, 10명(90%)이 증상의 호전을 보였다. 초음파 검사를 통한 추적 관찰에서 자궁의 크기가 21%, 자궁 근종의 크기가 39% 감소했음을 보여주었다. 결론 : 자궁 동맥 색전술은 증상이 있는 자궁 근종의 치료에 효과적이며, 근종 절제술이나, 자궁 절제술등의 수술적 치료를 대치할 수 있을 것으로 생각되어진다. Objective : To determine of the effectiveness of uterine arterial embolization as a primary therapy in the management of symptomatic leiomyomas. Materials and Methods : Uterine arterial embolization was performed in 23 patients (age range, 27-50 years) who complaint menorrhagia, bulk-related symptoms(frequency of urination, sensation of pressure, sensation of mass), or both, with leiomyomas. The effectiveness of the therapy was evaluated in the view of symptomatic relief and the patients' acceptance with ultrasonography, 3 months later. Results : Sixteen (89%) of 18 patients reported marked improvement in their abnormal bleeding. Ten (90%) of 11 patients with bulk-related symptoms reported marked improvement in these symptoms. Follow-up ultrasonographic examination showed a mean 21% reduction in uterine size and mean 39% reduction in leiomyoma size. Conclusion : Utrine arterial embolization is an effective therapy in the management of symptomatic leiomyomas and may prove to be a valuable alternative to myomectomy, hysterectomy, or other surgical procedures.
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