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양측 난소에서 발견된 Malignant mixed epithelial tumor 1예
최승도,배동한,김권대,양승하 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.12
여성생식기에서의 모든 악성종양에서 난소종양은 가장 위험하고 흔한 종양이다. 이러한 난소 종양의 분류는 이행 상피성이나 장액성, 미분류, 내막양들과 같은 조직학적으로 우세한 것에 의한다. 조직학적으로 우세하다는 것은 단일 양상이 전체의 50%를 넘는 경우이다. 종양이 여러 가지 양상으로 이루어져 있으나 우세한 형태가 없는 경우 이를 혼합형이라 한다. 이중에서 혼합형은 매우 드물게 보여지는 것으로 특히 이행세포종과 점액성의 혼합은 아직 까지 보고 된 적이 없는 것이다. 이에 저자들은 양측 난소에서 발생한 악성혼합형 상피세포종양 1예를 경험하였기에 간단한 문헌고찰과 함께 보고하는 바이다. Of all malignancy of the female genital tract, ovarian carcinoma is one of the most common gynecologic fatal tumor. Epithelial tumors were classified according to their predominant histology as transitional cell carcinoma, serous, undifferentiated, or endometrioid carcinoma. Predominant histology was defined as a single pattern that comprised over 50% of the tumor. Tumors with multiple histologic patterns but no predominant type were termed mixed carcinomas. We experienced a case of malignant mixed epithelial tumor comprised mucinous and transitional cell type on both ovaries and report with the brief review of the literature.
이권해,이정재,조현철,이석민,이임순,이해혁,김권대,이순곤,남계현 순천향의학연구소 1999 Journal of Soonchunhyang Medical Science Vol.5 No.2
Objective: This study was designed to evaluate diagnosis and complication, prognosis during clinical study of cases of intrauterine fetal death. Methods and materials: This is a clinical study of 56 cases of the intrauterine fetal death among 8064 deliveries at Seoul Sunchunhyang university hospital during 5 years from January, 1994 to December, 1998. Results: The incidence was 0.7%. The age distribution of mothers was 18 - 44 years and was highest in the 25 - 29 years range(46.4%). The parity was the most highest in the nulliparous group(51.8%). The most common gestational weeks was 20 - 28 weeks gestational period(46.4%), and most common presentation was cephalic(73.5%). The most common weights of the intrauterine fetal death was from 5,00gm to 1,000g(48.2%). The mode of the most common delivery was the induction of delivery(57.2%). The etiologic factors were: unknown(42.9%), preeclampsia(17.9%), chorioamnionitis(14.3%), congenital anomaly(12.5%), abruptio placenta(7.1%), cord complication(3.6%), placenta previa, death of one for twin. There were 2 cases of maternal complication(DIC, Uterine atony). Conclusion : Intrauterine fetal death should be diagnosised early and treated properly to reduce risk of the maternal complication.