http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
자궁내막 샘근육종 폴립을 동반한 Peutz-Jeghers 증후군
이윤희 ( Yoon Hee Lee ),홍대기 ( Dae Gy Hong ),배지혜 ( Ji Hae Bae ),박내윤 ( Nae Yoon Park ),정근오 ( Gun Oh Chong ),이윤순 ( Yoon Soon Lee ) 대한산부인과학회 2011 Obstetrics & Gynecology Science Vol.54 No.2
Peutz-Jeghers syndrome, which has autosomal dominant inheritance, shows pigmentation in lip and skin. It also has features of harmatomatous polyp over the gastrointestinal tract, while sometimes developing tumor in genital tract. Known tumors in female genital tract include cervical adenocarcinoma, sex cord tumor, etc. Adenomyomatous polyp in uterus is also one of the rare diseases, which seldom develop in the absence of hormone treatment such as Tamoxifen. Currently, there is one case of Peutz-Jeghers syndrome patient with endometrial adenomyomatous polyp. Authors found mole-like lesions on the transvaginal ultrasonogram in a typical Peutz-Jeghers syndrome patient without pregnancy history and previous chemotherapy. After confirming its diagnosis of adenomyomatous polyp on resectoscopic biopsy, we report our findings along with brief literature review.
정민지 ( Min Ji Chung ),이정미 ( Jeong Mi Lee ),김윤정 ( Yoon Jeong Kim ),박일수 ( Il Soo Park ),조영래 ( Young Lae Cho ),이윤순 ( Yoon Soon Lee ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.1
목적: 부인악성종양으로 치료적 및 진단 목적으로 시행된 복강경수술 후 발생한 투관침장소의 전이의 발생빈도를 알아보았다. 연구 방법: 복강 및 골반 내의 원발성 및 전이성 악성종양 및 외음부암 환자에서 복강경을 이용한 수술 후 투관침장소의 악성종양 전이를 후향적으로 조사하였다. 모든 예에서 CO2 기복을 12-14 mmHg 정도로 유지하였으며, 외음부암인 경우 10-12 mmHg 정도 유지하였다. 투관침 장소가 10 mm 이상인 경우에는 근막과 피부를 각각 봉합하였다. 결과: 1994년 8월부터 2003년 8월까지 184예의 부인악성종양 환자에서 복강경 시술을 하였다. 환자 분포는 자궁경부암 116예, 자궁내막암 20예, 난소암 34예, 자궁내막암 19예, 자궁육종 5예, 외음부암 3예, 질암 2예, 원발성 복막암 2예, 전이성 암 1예였다. 1예 (0.5%)에서 양측 5 mm 투관침 장소에 전이가 있었으며, 자궁내막암 3기 환자였다. 그리고 진단복강경 후 개복 수술한 질암 2기인 경우에 개복한 수술자리에 전이가 있었다. 결론: 복강경수술 후 투관침전이는 전이의 발생 빈도는 낮지만, 악성 종양에서 복강경수술을 시행하는 경우, 투관침장소 전이에 대한 가능성을 항상 염두에 두고 수술시 예방할 수 있는 방법을 이용하여야 하며, 수술 후에도 투관침장소에 대한 주의 깊은 추적 관찰을 하여야 할 것이다. Objective: The purpose of this study was to evaluate the incidence of abdominal-wall tumor implantation after laparoscopic procedure in patients with gynecologic malignancies. Methods: The records of 184 patients who had a laparoscopic operations or laparotomy after laparoscopic diagnostic procedures from Aug. 1994 to Aug. 2003 in our hospital were reviewed. The presence of metastasis at trocar site of laparoscopic surgery and incision site of laparotomy was examined. Results: Abdominal-wall tumor implantations were developed at two port site in one patient. This result showed an incidence of 0.24% (2/819), as 2 ones in 819 abdominal trocar sites and 0.5% (1/184), as 1 in 184 procedures. This patient had a FIGO stage Ⅲa, grade2 adenocarcinoma of endometrium and underwent laparoscopic modified radical hysterectomy with both pelvic lymphadenectomy. In addition, tumor implantation was occurred at laparotomy skin incision site in one patient, a incidence of 2.2% (1/45), as 1 in 45 laparotomy procedures. This patient had a stage II, squamous cell carcinoma of the vagina, who had received second courses of Ifosfamide-Cisplantin neoadjuvant chemotherapy and open laparotomy with radical hysterectomy with upper vaginectomy was followed by laparoscopic pelvic lymphadenectomy due to fixed grossly metastatic nodes. Conclusion: Recently, the use of laparoscopic procedure in oncology was increased, the new complication such as abdominal-wall implantation at trocar site was introduced. The abdominal-wall implantation at trocar site could be prevented by patients selection, intraperitoneal and port-site lavage, surgical modification. And all patients should have careful follow up with special attention to the trocar sites. Port site implantation was rare, but could be occurred in the incidence of 0.5% per procedure.
성원준 ( Won Joon Seong ),오정은 ( Jeong Eun Oh ),이윤희 ( Yoon Hee Lee ),홍대기 ( Dae Gy Hong ),이택후 ( Taek Hoo Lee ),이윤순 ( Yoon Soon Lee ),박일수 ( Il Soo Park ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.7
목적: 본 연구는 IgA 신병증이 병합된 임신에서 산모와 태아의 예후를 알아보고, 임신의 합병증과 관련된 예후인자를 찾기 위함이다. 연구 방법: 1997년에서 2006년 사이에 본원에서 조직검사상 IgA 신병증으로 진단받은 여성 가운데 14명의 산모에서 발생한 20예의 임신을 대상으로 하였다. 이 중 분만한 17예의 산모를 대상으로 내과, 산부인과 및 신생아 의무기록과 검사 소견을 후향적으로 조사하여 통계 분석하였다. 결과: 20예의 임신 중 자연유산이 3예이었고 17예에서 생존아를 분만하였다. 47%에서 중증 자간전증, 53%에서 저출생체중아가 발생하였고, 59%에서 37주 이전에 조산하였다. 그러나 조산의 대부분은 34주 이후에 발생하였고 신생아는 모두 생존하였다. 임신 전에 비하여 분만 후에 혈압의 유의한 상승이 관찰되었다. 결론: IgA 신병증 환자에서 임신은 금기는 아니지만 자간전증, 조산 및 저출생체중아의 빈도가 증가하므로 고위험 임신에 준한 면밀한 산전관리가 요구된다. Objective: We performed this study to evaluate maternal and fetal outcomes of pregnancies with IgA nephropathy. Methods: We reviewed 20 pregnancies occurred in 14 women who were diagnosed as IgA nephropathy with the method of renal biopsy between 1997 and 2006. We used clinical and laboratory data from medical records and statistic analysis using SPSS 15.0. Results: Of 20 prenancies, there were 17 live births and 3 spontaneous abortions. There was no stillbirth and congenital anomaly. We found severe preeclampsia in 47%, low birth weight in 53% and preterm birth (comprising medical indications) in 59%. But most were late preterm birth and all were alive. Blood pressure was elevated after delivery compared with pre-pregnancy. Conclusion: Although pregnancy is not contraindicated in IgA nephropathy, it is associated with significant complications comprising preeclampsia, preterm birth and low birth weight.
정민지 ( Min Ji Chung ),구태본 ( Tae Bon Koo ),이택후 ( Taek Hoo Lee ),전상식 ( Sang Sik Chun ),이윤순 ( Yoon Soon Lee ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.3
Endometriosis is a relatively common disease, affecting 5-10% of women of reproductive age. But, endometriosis affecting the urinary tract is very rare entity. Involvement of urinary tract by endometriosis occurs in about 1% of women with pelvic endometriosis. Ureteral endometriosis is mostly asymptomatic for a long time, and associated with nonspecific symptoms at clinical presentation and difficult preoperative diagnosis. The involvement of the ureter is rarely intrinsic by implantation of endometrial tissue in the wall of the ureter, but rather due to external compression by adjacent endometriosis and its attendant inflammation and fibrosis. We have experienced a case of right severe hydroureteronephrosis due to ureteral stricture from endometriosis. Laparoscopic nephrectomy was done due to renal atrophy. At the same time, laparoscopic total hysterectomy with right salpingo-oophorectomy was performed because of the uterine adenomyosis and right ovarian endometrioma. So, we report that with a brief review of literatures.