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권상옥(Sang Ok Kwon),이광훈(Kwang Hoon Lee),장우익(Woo Ik Jang),조한선(Han Seon Cho),차신웅(Sin Woong Cha),민병철(Byoung Chul Min),진춘조(Choon Jo Jin) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.4
Pregnancy is rarely encountered in women with cirrhosis since cirrhosis is less common in women and usually developes after the childbearing years. Additionally, cirrhosis in young women is often accompanied by severe menstrual irregularities and infertility with disturbance of estrogen metabo- lism. The managernent of the liver disease in pregnant patients is the sarne as that of normal people. Studies have shown that while pregnancy may result in a normal healthy infant, the risk of variceal hemorrhage is high, especially in the second and third trimesters. Cirrhosis seems to have an adverse effect on fetal outcome with a high incidence of stillbirths and prematurity in pregnant women. We report our experience of three episodes of pregnancy in two cases of liver cirrhosis and ascites with brief review of literatures.
위벽외성장(Exogastric Growth)을 동반한 위평활근 아세포종 1 예
정순희,황용,김용범,차신웅,이호선 대한내과학회 1992 대한내과학회지 Vol.43 No.6
Leiomyoblastoma (epithelioid leiomyoma) is rare disease that has a benign clinical course, but about 8∼13% of cases are changed to the malignancy. And about 10∼16% of cases grow outward and project into the peritoneal cavity. It was first described in 1960 by Martin et al. Stout reported a series of 69 similar cases and proposed the term $quot;leiomyoblastoma$quot; in 1962. A 65 year old female patient presented with epigastric discomfort and indigestion for one month. UGI, gastrofiberscopy and abdominal CT showed a submucosal tumor with exogastric growth located at anterior wall of lower body. Subtotal gastrectomy was performed under the impression of leiomyosarcoma. The final histologic diagnosis was leiomyoblastoma confirmed by immunohistochemical stain for desmin and electron microscopic study. The prognosis of leiomyoblastoma may be related to tumor size, the numbers of mitotic figures, sites and cellular characteristics.