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부인암에서 전인병소절제술 (Metastasectomy) 6예의 보고
문을주 ( Mun Eul Ju ),박연진 ( Park Yeon Jin ),정희환 ( Jeong Hui Hwan ),노주원 ( No Ju Won ),심정석 ( Sim Jeong Seog ),박상재 ( Park Sang Jae ),박종림 ( Park Jong Lim ),이종목 ( Lee Jong Mog ),조재일 ( Jo Jae Il ),조대순 ( Jo Dae 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.5
To report cases of metastasectomy for metastatic gynecologic malignancies, we reviewed the medical records of all patients who have undergone metastasectomy for metastatic gynecologic malignancies in Center for Uterine Cancer from June 2001 to October 2002. Six patients were identified with median age of 55 years (range 52-66 years). The metastatic sites and primary sites were as follows : 3 liver metastasis from ovary ; 1 abdominal wall metastasis from uterus (endometrial cancer), 1 brain metastasis from ovary, 1 lung metastasis from uterus (sarcoma). The median disease free interval was 48 months (range 10 months-13 years). There was no perioperative mortality. Postoperative morbidity was tolerable with 1 case of bile leakage. In three patients with hepatectomy, one patient was dead of disease after 15 months, one patient is alive with disease at 20 months of follow up, one patient have no evidence of recurrence at 7 months follow up. The patient with brai metastasis was dead due to lung metastsis after 9 months later postoperatively. Remaining two patients with abdominal wall and lung metastasis have no evidence of tumor recurrence at 4, 7 months follow up respectively. Metastasectomy for metastatic gynecologic malignancies can be performed safely and may help prologn survival in carefully selected patients.