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GO-12 : Primary squamous cell carcinoma of the endometrium; A case report
( Sang Gap Kim ),( Gun Sik Park ),( Byeung Jum Kim ),( Sang Kook Kim ),( Soo Jin Song ),( Sang Chill Kwon ),( Ja Seong Koo,),( Hyun Sik Youm ),( Hwal Woong Kim ),( Hwa Sook Moon ) 대한산부인과학회 2012 대한산부인과학회 학술대회 Vol.99 No.-
Primary squamous cell carcinoma of the endometrium is extremely rare and its pathogenesis is unclear. Exclusion of cervical squamous cell carcinoma, extended to endometrium and squamous differentiation of endometrioid carcinoma is necessary to make the diagnosis of primary squamous cell carcinoma of the endometrium. Case: A 51-year-old postmenopausal woman presented with heavy vaginal bleeding. The patient had normal Pap smear. Transvaginal ultrasonography revealed a 3.8 × 3.1 cm mass mimicking submucosal myoma in the uterine endometrial cavity. The frozen section of the mass obtained by hysteroscopy was reported as sarcoma. Subsequently, the patient underwent laparoscopic hysterectomy with BSO and bilateral pelvic lymph node dissection. There was no tumor involvement in dissected pelvic lymph nodes. Postoperative histology confirmed the presence of a poorly differentiated squamous cell carcinoma in the uterine body while the cervix was normal. The results of immunohistochemical stainings were diffusely positive for cytokeratin, and negative for vimentin. Based on the histomorphologic findings, the diagnosis was primary squamous cell carcinoma of the endometrium. The patient was treated with chemotherapy and is alive without recurrence and metastais 8 months after the operation. Conclusion: To make the diagnosis of primary squamous cell carcinoma excluding cervical squamous cell carcinoma, extended to endometrium and squamous differentiation of endometrioid carcinoma, it is important to carry out multiple sections, immunostainings, and mucin stainings.
( Sang Gap Kim ),( Gun Sik Park ),( Soo Jin Song ),( Sang Chill Kwon ),( Ja Seong Koo ),( Gyeong Il Nam ),( Hyun Sik Youm ),( Hwa Sook Moon ) 대한산부인과학회 2014 대한산부인과학회 학술대회 Vol.100 No.-
The reported incidence of vesicovaginal fistula following hysterectomy is about 0.2%. Standard management of vesicovaginal fistula requires 3-6month interval from injury to repair to ensure complete resolution of necrosis and inflammation. In 1942, Latzko developed a technique whereby posthysterectomy vesicovaginal fistulas were treated through a purely vaginal approach of which result was excellent. We would like to present the simple and effective Latzko procedure for posthysterectomy vesicovaginal fistula within 1month after hysterectomy. Case 1: A 38-year-old woman, hysterectomy for CIN III, a urinary leakage in 11days after hysterectomy. Latzko operation was performed after 31days postoperatively. Foley catheter was kept for 14days after surgery. Case 2: A 42-year-old woman, hysterectomy for adenomyosis, a urinary leakage in 10days after hysterectomy. Latzko operation was performed after 26days postoperatively. Foley catheter was kept for 10days after surgery. Case 3: A 52-year-old woman, hysterectomy for myoma, a urinary leakage in 12days after hysterectomy. Latzko operation was performed after 28days postoperatively. Foley catheter was kept for 13days after surgery. Case 4: A 46-year-old woman, a hysterectomy for myoma, a urinary leakage in 14days after hysterectomy. Latzko operation was performed after 25days postoperatively. Foley catheter was kept for 15days after surgery. Conclusion: Latzko operation has advantages of short operating time, minimal blood loss, and low postoperative morbidity while being a simple and minimally invasive procedure.
권칠수,안종국,성열보 인제대학교 1992 仁濟醫學 Vol.13 No.2
소아에서 흔한 강완골 과상부 골절 환아 34례에 대하여 주로 K강선 경피고정으로 치료한 결과를 임상 분석하여 문헌 고찰과 함에 보고하고자 한다. The supracondylar fracture of the humerus, the most common fracture of the elbow in children, is often associated with variable complications, that is, vascular impairment, Volkmann's ischemia, nerve injuries and cubitus varus deformity, etc. The authors reviewed 34 cases of supracondylar fractures treated from August 1989 to July 1991 with more than 12 months follow-up and obtained following results; 1.Male was common, and the common age group was from 2 to 7 years(mean age 6.25 years) 2.Main causes of injury were fall from a height. 3.Left side was affected more and extension type was predominant. 4.Posteromedial displacement and Holmberg grade III were predominant. 5.The associated injuries were 3 cases of radial nerve palsy and fractures of other regions. 6.Interval from the injury to treatment was within 12 hours in most cases. Seven cases were treated by closed reduction and cast immobilization, 22cases by closed reduction and percutaneous Kirschner wire fixation, and 5cases by open reduction and internal fixation. 7.The functional result rated by Flynn's criteria was as follows : excellent was 10 cases, good 16 cases, fair 5cases and poor 3 cases. 8.Average hospital stay was 4.1 days. 9.Displacd supracondylar fracture of the humerus in children could be best treated with early anatomical reduction and percutaneous cross K-wire fixation. And this method had merits, that is, less complications and short stay in the hospital.
이규칠(Kyu-Chill Lee),김종하(Joung-Ha Kim),윤재호(Jae-Ho Yun),박상일(Sang-Il Park),최윤호(Yun-Ho Choi),권오경(Oh-Kyung Kwon) 대한설비공학회 2006 대한설비공학회 학술발표대회논문집 Vol.2006 No.6
This research presented the heat resistance characteristics of heat sink which is newly designed through the experiment. For the same volume and base plate of heat sinks, the experiment of heat transfer characteristics was conducted for forced convection of layered type heat sink. The heat transfer and pressure drop characteristics of the layered type heat sink were comparaed for the vsrious kinds of fin pitches, fin heights and heights of heat sink. The results show that thermal resistance is decresed as the height of heat sink increases and the fin height and fin pitch decrease. From the experimental data of layered type heat sink, the correlation equation of Nusselt number was obtained as follows ; <식 참조>
Undifferentiated endometrial sarcoma mimicking submucosal myoma: A case report
( Gun Sik Park ),( Hyun Sik Youm ),( Soo Jin Song ),( Byeung Jum Kim ),( Mi Eun Jung ),( Sang Chill Kwon ),( Sang Kook Kim ),( Yu Kyung Cho ),( Ja Sung Koo ),( Hwal Woong Kim ),( Hwa Sook Moon ) 대한산부인과학회 2012 대한산부인과학회 학술대회 Vol.98 No.-
Endometrial stromal tumors are the second most common uterine sarcomas. They are divided into three types; endometrial stromal nodule, endometrial stromal sarcoma (ESS), and undifferentiated endometrial sarcoma (UES). UES is much less common than ESS. And it has a much more aggressive clinical course and poorer prognosis than ESS. Case: A 47-year-old woman presented to our hospital with a 4-month history of irregular vaginal bleeding. TVUS revealed a vascularized mass mimicking submucosal myoma in the uterine endometrial cavity. MRI was performed. A 5.9 × 5.1 × 4.8 cm submucosal mass filled up the endometrial cavity. Hysterocopy examination confirmed the protruding mass at the lower portion of the endometrial cavity. The frozen section of the hysteroscopy was reported as malignancy. Subsequently, the patient underwent laparoscopic hysterectomy with bilateral salpingo-oophorectomy and bilateral pelvic lymph node dissection. There was no cancerous involvement in 19 dissected lymph nodes. The results of immunohistochemical stainings were positive for vimentin and CD56, a few positive for CD68, and negative for smooth muscle actin, desmin, CD10, CD34, pan-cytokeratin, HMB-45, S-100 protein, chromogranins and synaptophysin. Based on these histomorphologic findings, the diagnosis of UES was made. The patient was referred to an oncological center for chemotherapy and radiation therapy. Conclusion: It is important to establish a proper classification of endometrial stromal tumors by cytologic and immunohistochemical findings becase of different clinical course and prognosis.