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BEP 복합화학요법후 완전관해가 확실시되는 난소의 미성숙기형종 1 례
허주엽,용창임 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.7
본 저자들은 최근 34세 여자에서 발생한 1례를 경험하여 이에 대해 수술후 3차에 걸쳐 BEP 복합화학요법을 실시한 후 지금까지 11개월째 매달 외래에서 추적 관찰중이며 현재 질병의 완전관해가 관찰되어 있어, 미성숙세포종 및 이에 대한 최근에 복합요법 동향과 추적관찰에 대해 간단한 문헌고찰과 더불어 보고하는 바이다. The immature teratoma is a type of malignant germ cell tumor, comprising less than 1% of ovarian tumor and 20% of malignant germ cell tumors, It has a specific age incidence, occuring most commonly in the first two decades of life and being almost none after menopause. We had experienced a case of the immature teratoma of 34 year old woman who was treated by operation and postoperative adjucvant chemotherapy (BEP regimen). We report this case with a review of th concerned literatures.
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이선경,김승보,강인석,용창임 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.8
The study was undertaken at the Dept. of OB & GY., college of medicine, Kyung-Hee University, to investigate the association between some of the risk factor and the incidence of the fetal growth retardation. The studied population were selected from patients who admitted at the Dept.of OB & GY., College of Medicine, Kyung-Hee University during period of 1990 through 1994, with following criteria; Korean, singletone preganncy, with live birth and known gestational weeks with 32 or more. and then, the risk factors were analyzed in terms of maternal factor, fetal fator and the placental factor. The results were summarized as follws: 1. The incidence rate for IUGR during period of 1990 through 1994 was 8.4%. 2. the increased incidence raes of IUGR were shown in the group of teenaged mother, primigravida and old aged mother. 3. Only 53% of etiologic factors for the IUGR were found to ahve known causes. 4. The risk factors of the IUGR, such as hypertensive disorder during pregnancy, anemia, ulmonary tuberculosis, cardiac disease were assoicated with the increased incidence. 5. The relative risk of IUGR was much higher in neonates born with conenital anomalies. 6. for the placental factors, placental previa and placental abruptio showed some association with fetal growth retardation.
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미분화세포종을 동반한 고환퇴행증후군중 Swyer씨증후군 1 예
허주엽,이선,이주희,용창임 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.2
Dysgenetic streak gonads were removed laparoscopically from a phenotypic female with Swyer syndrome(ie, XY karyotype, sexual infantalism, primary amenorrhea, and Mullerian structures). Pathologic examination revealed a dysgerminoma in one of her gonads. We report a case of dysgerminoma with 46,XY Swyer syndrome and review of literature.
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이선경,이보연,신진옥,용창임 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.7
The one hundred twenty one cases of ovarian tumors in pregnancy among 16,298 cases of delivery that were operated at the Dept. of OB & GY., Kyung Hee university, from January 1,1986 to December 31, 1994 were clinically observed and statistically reviewed. The results were summarized as follows: 1. The incidence of benign tumors in pregnancy was 1 in 135 deliveries, and one case of malignancy was encountered. 2. As to the initial chief complains, a free of symptoms and signs was found in 59 cases(48.8%), lowr abdominal pain in 43 cases(35.5%), palpable mass in 14 cases(11.6%), vaginal spotting in 5 cases(4.1%). 3. The most common tumors were the benign cystic teratoma(43.8%). 4. The diagnosis was made by physical examination and ultrasound in 85% and made in the first trimester in 61.7% of the patients. 5. Ovarian tumors which measured less than 5cm in diameter were 19 cases(15.7%), between 6~10cm in 92 cases(76.0%), between 11~15cm in 6 cases(5.0%) and more than 16cm in 4 cases(3.3%). 6. Complication resulting from ovarian tumors occured in 17 cases(14.2%), being 16 cases of torsion and 1 case of rupture. 7. The incidence of spontaneous abortion after surgery was 5.8%.
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