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하창욱 ( Chang Wook Ha ),임명철 ( Myong Cheol Lim ),최영준 ( Young Jun Choi ),이보연 ( Bo Yon Lee ),이선경 ( Seon Kyung Lee ),허주엽 ( Chu Yeop Huh ),김승보 ( Seung Bo Kim ),김윤화 ( Youn Wha Kim ),임주원 ( Joo Won Lim ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.12
This is the first case report of a patient with a large serous cystadenoma accompanied by a juvenile granulosa cell tumor that was discovered in the remaining ovarian tissue. A 25-year-old female was presented with constipation and amenorrhea. Ultrasonography revealed a large cystic mass in the left ovary with a normal uterus. The remaining ovarian tissue seemed normal at first look after cystectomy, but showed abnormal consistency on palpation. The remaining ovarian tissue was removed and granulosa cell tumor was confirmed by pathologic examination. The patient has been followed up for 30 months without evidence of recurrence. We would like to emphasize the importance of inspection, and palpation of remaining ovarian tissue during operation to avoid risks of remaining ovarian pathology.
기경도 ( Kyung Do Ki ),하창욱 ( Chang Wook Ha ),서상기 ( Sang Gi Seo ),허주엽 ( Chu Yeop Huh ),양문호 ( Moon Ho Yang ),이주희 ( Ju Hie Lee ),박지선 ( Ji Seon Park ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.7
Malignant melanoma is a neoplasm of the skin and mucous membrane which very rarely occurs in the ovary. Malignant melanomas occurring in the ovary must be differentiated from primary and metastatic malignant melanoma. Primary malignant melanoma of the ovary is extremely rare and is thought to originate from a cystic teratoma. Malignant melanoma of ovary without evidence of residual teratoma must be considered metastatic even in the absence of a previously cutaneous or mucocutaneous lesion. Opinions about its histogenesis, diagnostic criteria and elective treatment are controversial because of rare manifestations, and the prognosis remains poor in spite of the variety of therapeutic measures. After thoroughly surveying the specific literature, we report case of malignant melanoma with multiple metastases located in the stomach, the omentum and both ovaries with unknown site of primary origin.
임신 중 ritodrine 사용과 관련된 transaminase 상승 소견
이효원 ( Hyo Won Lee ),기경도 ( Kyung Do Ki ),하창욱 ( Chang Wook Ha ),이지은 ( Ji Eun Lee ),김윤영 ( Yun Young Kim ),김일구 ( Il Gu Kim ),서상기 ( Sang Gi Seo ),이선경 ( Seon Kyung Lee ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.7
Ritodrine hydrochloride (Yutopar) is commonly used for the treatment of preterm labor. Published reports claim that many complications of prematurity have been averted by the administration of this drug. However, ritodrine hydrochloride has many side effects, including cardiovascular problem and metabolic error. Only a few reports have described the transient hepatitis (elevated transaminase) all over the world. The clinical significance and incidence of this side effect are still unclear. In this report, we present a case of elevated serum transaminase levels associated with the use of ritodrine during pregnancy with a brief review of the literatures.