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조향정 ( Hyang Jeong Jo ),김홍곤 ( Heung Gon Kim ),문형배 ( Hyung Bae Moon ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.3
Angiomyofibroblastoma of the vulva is a recently described mesenchymal tumor. It can be distinguished from an aggressive angiomyxoma by its circumscribed borders, higher cellularity, more numerous blood vessels, the frequent presence of stromal cells, min
박현진(Hyun Jin Park),이승필(Seung Pil Lee),심재량(Jae Pyang Sim),김홍곤(Heung Gon Kim),윤기중(Kie Jung Yun) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.9
Carcinosarcoma (also termed malignant mixed mullerian tumors) are highly malignant neoplasms that histologically contain epithelial (carcinomatous) and stromal (sarcomatous) elements. It is very rare tumor and generally has a poor prognosis. A rare form may develop anywhere in pelvic region but it is usually found in the uterus and rarely in the ovaries constituting less than 1 % of the total ovarian carcinomas. Ovarian carcino sarcomas has been rarely described in literature due to difficulty in proper diagnosis and nomenclature. We report one case that was diagnosed ovarian carcinosarcoma by pathologic biopsy obtained after surgery who is receiving chemotheraphy presently with a brief review of literature.
김홍곤,윤기중 대한부인종양 콜포스코피학회 1996 Journal of Gynecologic Oncology Vol.7 No.4
The carcinoma of uterine cervix is the most common malignant neoplasm in Korean women. Nearly all invasive cervical carcinomas are preceded by a intraepithelial stage. The cervical intraepithelial lesion(CIN) is subdivided into I, II, and III, depending on the severity of the changes. To evaluate the histologic characteristics of the CIN, we studied the CIN III by mapping of the uterine cervix. The results were as follows. 1. The CIN III without I or II was 54.8%(17/31 cases). 2. The multifocal CIN III was 12.9%(4/31 cases). 3. The horizontal growth of CIN III was 38.7%(12/31 cases). These results indicate that the CIN III is unifocal and CIN III without I or II is more common.
황성연,김창홍,김홍곤 圓光大學校 醫科學硏究所 1997 圓光醫科學 Vol.13 No.1-2
Hysterectomy is one of the most common surgical procedures performed; after cesarean delivery, it is the second most frequently performed major surgical procedure in the U.S. This study was attempted to analysis 440 consecutive abdominal hysterectomies, especially concerned with its indication and complication, from January 1, 1995 to December 31, 1996 at the department of Obstetrics and Gynecology, Wonkwang University hospital. The results were summarized as follows: 1. The most common age distribution was 40 to 49 years with 41.4 years of mean age. 2. There couldn't be found any relationship between the indication of surgery and the parity. 3. The most common symptom and sign was lower abdominal pain(52.0 %) and followed by hypermenorrhea(31.3 %) and palpable mass(18.4 %). 4. 29.8 % of all cases was anemic in preoperative check of hemoglobin level, and in 14.3 % of all cases, correction of level was necessary. 5. The uterine myoma was most commonly indicated for Total abdominal hysterectomy (66.8 %) and cervical carcinoma was 7.7 % of all cases. 6. Majority of cases were received abdominal hysterectomies, including 25 cases of radical hysterectomies with pelvic lymphadenectomy. 7. Leiomyoma was the most common postoperative pathologic findings(69.1 %) and followed by adenomyosis(58.4 %). 8. Overall complication rate of abdominal hysterectomy was 21.5 %, which included febrile morbidity of 15.5 %, anemia of 14.1 % and upper respiratory tract infection of 6.1 %.
신형도,박형진,김홍곤,한원철 圓光大學校 醫科學硏究所 1999 圓光醫科學 Vol.15 No.1
Mucinous tumor are cystic tumors with loculus lined with mucin-secreting epithelium constitute approximately 8-10% of primary epithelial ovarian tumors. Of all mucinous neoplasms, 75-85% are benign. It is often reach very large size particularly with the benign counterpart being reported on occasion to have exceed 100 lbs. Malignancy develops in 5-10% of benign mucinous cysts. About 15-20% of neoplasms are bilateral. We experienced a huge ovarian mucinous tumor of 155 ㎏. measured 42 × 30 × 28 ㎝ in size, and the volume of cystic contents was about 10 L in a nulligravida 36-year-old woman. Pathologic diagnosis was moderately differentiated mucinous cystadenocarcinoma of right ovary. So, we presented with a brief review of literatures.
김봉환,김홍곤 대한건축학회 2000 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.20 No.1
This paper develops a shape rule schema based on shape grammar to approach design logic in structure of architectural design processes. The generative specification of 2-dimensional plan show rectangles of geometric proportion by applied shape grammar (1) The structure of architectural design logic represented by patterns in shapes. (2) The 2-dimensional plan representation by applied shape grammar and shape rule schemata emerge from geometric proportion of rectangle and mechanism of generative specification (3) The characteristics of shape rule schema are investigated Aspects of design logic for generative specification of the plan in architectural shape are enumerated
호르몬 보충용법이 단구세포의 조직인자 활동에 미치는 영향
민부기,김홍곤,김기석,홍기연,이희섭 대한폐경학회 1998 대한폐경학회지 Vol.4 No.1
"Our purpose was to investigate the effects of hormone replacement therapy on the reactivity of monocyte in whole blood, mesured by tissue factor activity. Thirty-eight women were randomized into oral combind homone replacement therapy and underwent blood sampling before and 3 and 12 months of treament,The tissue factor activity in monocytes was measured both in unstimulated whole blood and after a weak lipopolisaccaide stimulation. After 12months of hormone replacement therapy there were significant reduction of tissue factor activity in both unstimulated and lipopolisaccaride stimulated monocyte (p<0.001). Twelve months of hormone replacement therapy reduces cellular activation of blood monocytes; these changes may account for some of the beneficial effects in reducing the risk of cardiovascular disease. "
고위험 예후인자를 가진 자궁경부암환자에서 방사선과 Cisplatinum의 동시병용요법
문성록,김홍곤,김혜정 圓光大學校 醫科學硏究所 1995 圓光醫科學 Vol.11 No.1
Twelve patients with high risk group of uterine cervical carcinoma received concurrent chemoradiotherapy with weekly cisplatinum. A patient was FIGO stage Ⅰ-B barrel-shaped, two were stage Ⅱ-A. eight were stage Ⅱ-B, and one was Ⅲ-B. All patients responded to concurrent chemoradiotherapy with eleven complete and one partial responses. Nine of 11 with complete reponse are alive disease free on the completion of follow-up. Overall 3-year survival rate was 75% and 3-year local control rate was 92%. Toxicity for the combination therapy was not excessive. Although follow-up is short, this approach for patients with high risk uterine cervical carcinoma yielded excellent results and was well tolerated.
문형배,이영규,김홍곤,김삼봉,한원철 대한부인종양 콜포스코피학회 1994 Journal of Gynecologic Oncology Vol.5 No.2
Massive ovarian deema is a tate condition. It is a benign enlargement of the ovary caused by accumulation of fluid, which is thought to result from intermittent partial torsion of the ovarian pedicle. Histologically, the ovaries were characterized by diffuse edema of medulla and inner cortex. Two cases of massive ovanan edema are reported with brief review of the literatures.