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이노준 ( Lee No Jun ),김정 ( Kim Jeong ),이상희 ( Lee Sang Hui ),최운민 ( Choe Un Min ),이수선 ( Lee Su Seon ),권용일 ( Kwon Yong Il ),박태철 ( Park Tae Cheol ),이진우 ( Lee Jin U ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.11
목적 : 산부인과 영역에서의 복강경술은 창상이 적고 수술 후 통증 및 합병증이 적고 회복이 빨라 비용이 절감된다는 장점뿐 아니라 미용학적인 이점이 있으므로 점차 개복술을 대체하여 치료영역이 확대되고 있는바 본 연구는 복강경 수술 1594예를 분석하였다. 연구 방법 : 1999년 1월부터 2002년 12월까지 가톨릭대학교 의정부성모병원 산부인과에서 복강경 수술을 시행 받은 환자 1594명의 외래 및 입원기록을 검토하였다. 검토항목으로 환자의 연령, 출산력 Objective : Laparoscopic surgery provides patients with the benefits of shortened hospital stay and faster return to normal activity. The objective is to evaluate the efficacy of laparoscopic surgery in gynecologic patients. Methods : From January, 1999 t
김정 ( Kim Jeong ),이성환 ( Lee Seong Hwan ),이노준 ( Lee No Jun ),구남식 ( Gu Nam Sig ),이상희 ( Lee Sang Hui ),박태철 ( Park Tae Cheol ),장은덕 ( Jang Eun Deog ),이진우 ( Lee Jin U ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.8
In adults, although malignant fibrous histiocytoma (MFH) is the most frequent malignant soft tissue tumor. Primary malignant fibrous histiocytoma of the round ligament of the uterus is comparatively very rare. A patient presented with severe lower abdomin
남궁성은(Sung Eun Namkoong),이준모(Joon Mo Lee),이상희(Sang Hee Lee),배태욱(Tae Wook Bae),이노준(No Jun Lee),김찬주(Chan Joo Kim),박태철(Tae Chul Park) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.3
N/A Objectives: The purpose of this study is to investigate the clinicopathologic characteristics and the risk factors affecting the recurrence in patients with borderline ovarian malignancy. Methods: From January 1996 to January 2001,37 patients with borderline tumors of the ovaries were retrospectively investigated in the Department of Obstetrics and Gynecology, Catholic University, Kangnam and Uijongbu St. Mary's Hospital. Several clinicopathologic factors including DNA ploicly was analyzed for the prognosis and recurrence. sAnalysis for the kinds of treatment and recurrence were conducted to test the prognostic significance of several clinicopathologic factors including DNA analysis. Results: Histologically, 27 borderline tumors were serous,9 were mucinous and 1 was mixed epithelial type. The FIGO stage I was 91.8%(34/37)and stage II was 8.2%(3/37).Mean value of CA125 in mucinous borderline malignancy was significantly higher (162.4 IU/mL)than serous types (52.2 IU/mL)(p<0.05). The patients with elevated CA 125 levels (>35 IU/mL)were 56.3%(9/16)in serous type and 75%(6/8)in mucinous tumors. Ten of 13 cases with DNA flow cytometry showed aneuploidy (76.9%).When considering pathologic types between diploid and aneuploid groups, there were no statistically significant differences. However, the patients with old age (>40) were more likely to be aneuploid (p<0.05).Mean duration of follow-up investigation was 26 months after primary operation. In this period, only one patient with serous borderline tumor stage Ia had recurrence on the contra-lateral ovary at 13-month. Conclusion: Data from this study showed that the majority of borderline tumors have good prognosis. And young patients who have not completed childbearing can be safely treated with unilateral salpingo-oophorectomy and omentectomy in stage I diploid tumor. In ovarian bordeline tumors, further studies on DNA ploidy would be needed.