둔위임신의 임상적고찰

신승권(SK Shin),윤광섭(KS Youn),술종은(JE Sul),김희경(HK Kim),박주현(JH Park),임훈정(HJ Im) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.1

Breech presentation is the most frequent abnormal one, and it causes severeal complication during labor such as prematurity, low birth weight, congenital anomaly, increased C-section rate and increased perinatal morbidity. We studied 411 cases of breech delivery, including 364 of single and 47 cases of multiple preg., at the Kwangju Christian Hospital during five and half years from January 1975 to June 1980. The results were as follows: 1. The incidence of breech delivery was 3.39%. 2. Most patients were between 25 and 29 yars old. The incidence was increased in women over 40, or whose parity was more than 5. 3. In 74.02% of patients delivery occurred between 38-42 weeks of gestation and 22.38% of the neonates weighed less than 2500 gm. 4. Regarding the type of breech, the most common was Frank (41.62%); and the others were incomplete(34.32%); unclassified (22.37%); and complete (1.69%). 5. The duration of labor averaged 10.69 hours in primipara and 6.42 hours in multipara, without significant difference among the types of breech pregentation. 6. The incidence of PROM was 16.79%(69 patients), and was lowest in incomplete breech presentation(14.89%). 7. The incidence of cord prolapse was 5.11%(21 patients), and in 85.7% (18 patients) it was incomplete. 8. The mode of delivery were PBE, (50.4%); (24.6%); TBE, (22.8%); and spontaneous, (2.2%). 9. The incidence of C/S for nullti-para increased slightly year by year except for 1980. 10. The incidence of congenital anomaly was 2.7%. 11. The perinatal mortality was 16.7% and the leading cause was prematurity. 12. Apgar score was 7.89 for vaginal delivery and 9.45 for C-section.

쌍태임신 146예

전현권(HK Jun),신승권(SK Shin),윤광섭(KS Youn),박주현(JH Park),임헌정(HJ lm) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.3

A clinical review of 145 twin pregnancy among 11490 women, who delivered in the seven year period from Jan 1972. to Dec. 1978 in the Kwang-Ju Christian Hospital . the results of study were as follows. 1. the incidence of twin birth was one in 78.7 births. 2. The youngest was 20 year old woman the oldest was 42 year old woman and average age was 28.2 year old in twin pregnancy 3. Multipara was 60.1percent of twin pregnant women. About 10.3% of twin pregnant women had familial history of twin pregnancy 4. The diagnosis was made by simple X-ray (47.2%) and clinical findings (34.2%) women who had been taken antenatal care were only 48.6% in twin pregnant women. 5. An incidence of 55.4% of twin were delivered between 37th. Week and 40th. Week of gestation. The average duration of twin pregnancy was 37.2 weeks of gestaion. 6. In presentation both cephalic combination was 39.1% cephalic-breech was 29.4% 7. The average duration of labor in primiparas was 10.6hours, and in multiparas, about 7.2 hours. An incidence of 54.1% of cases were within 5 minutes in time interval between first and second baby delivery. 8. The average birth weight of newborn infant was 2412gm(2476gm in 1st baby, 2392 gm in 2nd baby)

흉복부유합 중복기형의 1예

정행용(HY Chung),신승권(SK Shin),박주현(JH Park),박헌정(HJ Park) 대한산부인과학회 1980 Obstetrics & Gynecology Science Vol.23 No.11

임신 39주로 제왕절개술로 만출된 구진파열을 동반한 흉복부유합기형아 1예를 경험하였기에 해부학적 소견 및 문헌적 고찰을 보고하는 바이다. A case of 39th week of gestation thoracopagus, combined with cleft palate, delivered by cesarean section, is reported with a brief review of the related literatures.

자궁외임신에 관한 임상적 고찰

신승권,최호준,윤길팔,양영균,양우열,고만석 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.4

The study was undertaken for the clinical evaluation and statistical analysis on the 222 patients with ectopic pregnancy who had been adbitted and treated at the Mokpo St. Columban`s Hospital from Jan. 1, 1993 to Dec. 31, 1995. The results were obtained as follows. 1. Hospital incidence of ectopic pregnancy wasd 1 in 45 deliveries(222/10,078). 2. Ectopic pregnancy was found to occur most frequently in the age group, ranging from 31 to 35 years(36.9%). 3. Nullipara was 26.5% and woman who had experienced artificial abortion was 69.8%. 4. Hemoglobin value over 10.0 gm/dL was in 78.8% and below 8.9 gm/dL in 4.1%. 5. Initial systolic blood pressure rise above 100 mmHg was in 75.0%, the mean value was 104.5mmHg. 6. The clinical manifestations were appeared in 64.4% from the last menstrual peroid to the next 5~8 weeks. 7. Total amount of intraperitoneal hemorrhage between 100~1,000 ml was in 62.1%, above the 1,000 ml was in 29.3% and less than 100 ml was in 8.6%. 8. Ectopic pregnancy was implanted follopain tuve in 95.0% ovary in 4.5% and cervix in 0.5%. Among tubal pregnancies, ampulla portion was involved in 76.6%, interstitial portion in 3.1%, isthmic portion in 12.2% and fimbrial portion in 3.1%. 9. In the past history, the laparoscopic tubal ligation was in 18%, peritonitis was in 1.8%, appendectomy was in 7.2% and cesarean section was in 8.6%. 10. Culdocentesis was positive in 70.0% and urinary HCG test was positive in 90%. 11. 77.8% of total cases was treated by salpingectomy, 14.9% by salpingoophorectomy and 1.4% by hysterectomy. 12. Of 222 total cases, no death occurred.

자궁외임신에 관한 임상적 고찰

신승권,한세준,최대용,최호준,김하봉,고종석 대한산부인과학회 1990 Obstetrics & Gynecology Science Vol.33 No.11

1981년 1월 1일부터 1987년 12월 31일까지 목포성골롬반병원 산부인과에서 자궁외임신 진단하에 입원 수술 후 병리학적 검사로 확인되었던 250예에 대하여 임상적 고찰을 하여 다음과 같은 결과를 얻었다. 1. 자궁외임신의 분만수에 대한 발생빈도는 1:77이었다(250예/19.222분만). 2. 호발연령군은 30∼34세로서 29.6%를 점유하였다. 3. 미산부가 24.4%였으며 인공유산의 경험이 있었던 경우가 66%였다. 4. 평균 Hb치는 9.9이었다. 5. 초기 수축기 혈압이 100이상인 경우가 80.4%였고 평균치는 109.7이였다. 6. 임상증상은 64.8%가 최종 월경일로부터 5∼8주에 나타났다. 7. 복강내 출혈량은 500∼1000ml가 22.4%, 1000ml이상은 66.4%, 500ml이하인 경우가 11.2%였다. 8. 착상부위는 난관이 97.8%, 난소 2.4%, abdomen이 0.4%였고, 난관중 팽대부가 79.2%, 간질부 4%, 협부 10.8% 난관채 3.8%였다. 9. 수술시 소견으로 골반염증 24.5%, 난소낭종 11.6%, 자궁근종이 0.4%였고, IUD를 장치한 경우도 5.2%였다. 10. 기왕력중 복강경 난관결찰술 15%, 반복 자궁외임신이 7.6%, 충수돌기 절제술 5.2%, 제왕절개술이 1.2%였다. 11. Douglas와 천자는 87.1%에서 적중율을 보였고, 12.9%에서는 음성을 보였고, 임신 반응검사는 65%에서 양성으로 나타났다. 12. 수술방법은 환측 난관절제술이 82%, 환측 부속기 제거가 13.6%, 자궁전적출이 2.8%이였다. 13. 사망률은 1예도 없었다. This study was undertaken for the clinical evaluation and statistical analysis on the 250 patients with ectopic pregnancy who had been admitted and treated at the Mokpo St. columban Hospital from Jan. 1, 1981 to Dec. 31, 1987. The results were obtained as follows. 1. Hospital incidence of ectopic pregnancy was 1 in 77 deliveries(250/19222). 2. Ectopic pregnancy was found to occur most frequently in the age group, ranging from 30 to 34 years(29.6%). 3. Nullipara was 24.4% and woman who had experienced artificial abortion was 66%. 4. Mean hemoglobin level 9.9mg/이. 5. Initial systolic blood pressure rise above 100 mmHg was in 80.4%. The mean value was 109.7 mmHg. 6. The clinical manifestation were appeared in 64.8% from the last menstrual peiod to the next 5∼8 weeks. 7. Total amount of intraperitoneal hemorrhage was between 50∼ 1000ml was in 22.4%, above the 1,000ml was 66.4% and less the 500ml was 11.2%. 8. Ectopic pregnancy was implanted in fallopian tube 97.8%, ovary in 2.4% and abdomen in 0.4%. Among tubal pregnancies, ampullar portion was involved in 79.2% interstitial portion in 4%, isthmic portion in 10.8% and fimbrial portion in 3.8%. 9. The combined pelvic disorders found during poeration were pelvic inflammatory disease in 24.5%, ovarian cyst in 11.6%, uterine myoma in 0.4% and the case applicated with IUD in 5.2%. 10. In past history, the laparascopic tubal ligation was in 15%, repeated ectopia was in 7.6%, appendectomy was in 1.5% and cesarean section was in 1.5%. 11. Culdocentesis was positive in 87.1%, negative in 12.9%, and Gravindex test was positive in 65%. 12. 82% of total cases was treated by salpingectomy, 13.6% by salpingoophorectomy and 1.6% by hysterectomy. 13. Of 250 total cases, no death occured.

고령 산모에 관한 임상통계학적 고찰

신승권,윤광혁,이명재,양영균,정병욱,정진국 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.1

According to most studies, there are numerous complications of pregnancy-affecting both the mother and the fetus or neonate-among women over the age of 35. So, we have compared 542 cases of the elderly gravida over the age of 35 at the department of Obstetrics and Gynecology, Mokpo, St. Columban`s Hospital, from January 1, 1994 to December 31, 1996, with 500 cases randomly chosen young pregnant women during the same period. There results were as follows. 1. There were 542 cases of the elderly gravida among total 10706 deliveries and the incidence of the elderly gravida was 5.06%. 2. The rate of elderly gravida was increased from 4.72% in 1994 to 5.39% in 1996. 3. The maternal age distribution of elderly gravida was from 35 years to 46 years. 4. The parity of elderly gravida was that primigravida was 12.2% and multigravida was 87.8%. 5. 501 cases(92.4%) of total cases were vertex presentation and breech presentation was in 34 cases(6.3%), transverse lie in 7 cases(1.3%). 6. The preterm pregnancy was 9.2% compared with 10.4% in control group. The postterm pregnancy was 3.1% compared with 5.4% in control group. 7. The rate of cesarean section was 42.4% compared with 22.4% in control group. Among the incidence of cesarean section the highest incidence was previous cesarean section(41.3%). Other indications were elderly primigravida(28.7%), cephalopelvic disproportion(7.0%), and abnormal presentation(8.3%) in order. 8. Concerning the prenatal complication, the incidence of hypertensive disorder was 5.4% compared with 3.6% in control group. 9. The Incidence of low birth weight was 12.0% compared with 6.4% in control group. 10. The male-to-female sex ratio was 1.22: 1 compared with 1.09 : 1 in control group.

10 대 여성의 임신에 관한 임상통계학적 고찰

신승권,윤광혁,양우열,고만석,정병욱,정진국,이호형 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.5

본 병원 산부인과에서 1992년 1월 1일부터 1996년 12월 31일까지 만 5년 동안 경험하였던 10대 임산부 194명과 20∼29세까지의 대조군 200명을 대상으로 임신과 분만에 따른 각종 합병증과 위험인자를 비교 분석한 결과 다음과 같은 결과를 얻었다. 1. 연도별 분포는 1992년 1.08%, 1994년 1,32% 그 리고 1996년 2.11%로 점차 증가하는 경향을 보였다. 2. 연령 분포는 14세에서 19세 사이였으며, 19세 가 58.8%로 가장 많았다. 3. 과거 임신 경 력 첫 번째 임신인 경우가 56.7% 로 가장 많고 3회인 경우가 7예(3.6%), 4회인 경우도 1예(0.5%)이었다. 4. 산전관리의 빈도는 10대 임산부에서 대조군보 다 유의하게 낮았다(p<0.05). 5. 임신 주수의 분포는 10대 임산부는 평균 40+1주 로 대조군의 40+4주와 유의한 차이를 보이지 않았고, 37주 이하의 미숙아 분만과 42주 이상의 과숙아 분 만도 대조군과 유의한 차이는 없었다. 6. 임신중 산모 체중 증가는 10대 임산부에서 평 균 11.27 kg으로 대조군의 13.26 kg보다 유의하게 낮 았다(p<0.05). 10대 임산부에서는 5.0∼9.9 kg의 체중 증가가 유의하게 높은 빈도를 보였다. 7. 10대 임산부에서 신생아 평균 체중은 3.06 kg 로 대조군의 3.36 kg보다 의미있게 낮았다. 10대 임 산부에서 1,500∼2,499 gm인 경우가 6.2%로 대조군 의 2.0%보다 유의하게 높았고(p<0.05), 4,000 gm 이 상인 경우는 대조군과 유의한 차이는 없었다. 8. 제왕절개에 의한 복식 분만율은 5.7%로 대조군 의 20.5%와 유의한 차이를 보였다(p<0.05). 9. 제왕절개술의 적응증으로는 아두골반불균형, 협착 골반이 각각 36.3%, 27.3%로 대조군보다 많았 지만 통계학적으로 유의한 차이는 보이지 않았다. 10. 분만 전 합병증은 빈혈(16%), 방광염(4.1%), 임 신중독증(3.1%)이 대조군보다 높았지만 유의한 차이 는 없었다. 11. 분만 후 합병증은 빈혈(29.9%), 요로감염(13.9 %)이 대조군보다 높았지만 유의한 차이는 없었으며, 그 밖에 방광무력증, 산후출혈, 열상등도 대조군과 유의한 차이를 보이지 않았다. 12. 신생아 합병증에 있어서 주산기 사망률, 저 Apgar score, 자궁내 발육지연, 선천성 기형에서도 대 조군과 유의한 차이를 보이지 않았다. Social and Sexual mores have been changing rapidly and the problem of teenage pregnancy continues to grow in this country. Recently, industrialization and a complex urban society unduly prolong education and delay marriage and sexual gratification, and little attention has been given to the adolescent who are more susceptible and vulnerable than adults in physical, socioeconomical and psychological aspects. Several studies indicate that good prenatal care, meticulous medical care, intensive nutritional counselings and attention to the psychological, socioeconomic problems of pregnancy reduce the perinatal death and complication rate for pregnant teenagers. The objective of the study was to compare several obstetric characteristics and outcomes of one hundred ninety four pregnant under age 20 who were delivered at department of obstetrics and gynecology, Mokpo St. Columban Hospital from January 1992 to December 1996 to those of two hundred pregnant aged 20∼29 who were chosen at random during the same period as the control group. The results were as follows; 1. The proportion of birth to teenagers increased from 1.08% of all birth in 1992 to 2.11% in 1996. 2. Almost cases were in high teen group, age of 14∼19. The majority (58.8%) were in the age of 19. 3. 110 cases (56.7%) had no previous pregnancy history. Seven patients had three times, and one patient had four times of previous pregnancy history. 4. The frequency of prenatal care was significantly lower than the control group (p<0.05). 5. The mean gestational period was 40+1 weeks, and there was no significant difference between the study group and the control group. The incidence of preterm and postterm delivery was not significant difference between the two groups. 6. The mean weight gain of pregnant teenagers was 11.27 kg, significantly smaller than the control group. The maternal weight gain of 5.0∼9.9kg was significantly higher than the control group. 7. The mean birth weight (3.06kg) of infant was significantly smaller than the control group. The incidence of 1,500∼2,499 gm birth weight 6.2%) was significantly higher than the control group (2.0%). 8. The rate of abdominal delivery (5.7%) was significantly lower than the control group (20.5%). 9. The incidence of cephalopelvic disproportion and contracted pelvis for cesarean section was somewhat higher than the control group, but not significant statistically. 10. In the antepartum complication, anemia, cystitis, and pregnancy induced hypertension occurred more frequently in the teenage pregnancy than the control group, but not significant statistically. 11. In the postpartum complication, anemia (29.9%), urinary tract infection (13.9%) occurred more frequently than the control group, but not significant statistically. 12. The perinatal mortality, low Apgar score, intrauterine growth retardation, and congenital anomaly were not significant different between the two groups.

자궁근종에 관한 임상통계학적 고찰

신승권,최호준,고만석,정병욱,정진국,이호형 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.1

From January 1992 to December 1996, 1371 cases of major gynecologic surgery were performed at Mokpo St. Columban`s Hospital. Among these, 282 cases were uterine myoma confirmed histopathologically. A clinicopathologic study on these 282 cases were carried out to understand the clinical characteristics of uterine myoma. The results were as follows. 1. Myoma was observed most frequently in the age group of 40 to 49 years, and the mean age was 43.7 years. 2. The parity was 3.6 in average. The infertility was observed in 17 cases(6.0%), in which the primary infertility was 3.2% and secondary 3.1% respectively. 3. The most frequent chief complaint was pain which was observed in 231 case(81.3%), abnormal bleeding in 207 cases(30.9%). Transfusion was taken in 42 cases(14.9%). 4. The mean value of preoperative hemoglobin was 11.2g% and the anemia (Hb < 10.0g%) was observed in 87 cases(30.9%). Transfusion was taken in 42 cases(14.9%). 5. The corporeal myoma was wbserved in 266 cases(94.3%), cervical area in 7 cases(2.5%), intraligamentary in 5 cases(1.8%), combined in 4 cases(1.4%) respectively. The intramural type was observed in 157 cases(55.7%), subserous in 46 cases(16.3%), mixed type in 44 cases(15.6%), submucous in 35 cases(12.4%) respectively. 6. The mean weight of the uterine myoma after myomectomy and uterus after hysterectomy was 347.3g. In 11 cases(3.9%), the weight was below 100g. 7. The secondary change in myoma was found in 26 cases(9.2%) and the most common change was hyaline degeneration(5.7%). 8. The most common associated condition was chronic cervicitis, which was observed in 141 cases(50.0%). 9. Hypermenorrhea was observed in 165 cases(58.6%) and there was a significant correlation between the presence of hypermenorrhea and the type of myoma, but no correlation with the weight of myoma. 10. Dysmenorrhea was observed in 108 cases(38.3%) and there was no sighificant correlations between the dysmenorrhea and the weight of myoma, and type of myoma. But, there was significant correlations between the dysmenorrhea and adenomyosis. 11. Total abdominal hysterectomy was performed in 184 cases(65.2%), total abdominal hysterectomy with unilateral adnexectomy in 45 cases(16.0%), total abdominal hysterectomy with both adnexectomy in 23 cases(2.8%), subtotal hysterectomy in 5 cases(1.8%) respectively. 12. The postoperative complications were found in 50 cases(17.7%) and the most common complication of these was infection of wound seen in 36 cases(12.8%). 13. The mean period of hospitalization was 8 days, and the period less than 10days was observed in 249 cases(88.3%).

임신중 고혈압성 질환의 임상적 고찰

신승권,김하봉,류형선,윤광혁,박명호 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.3

1988년 1월부터 1992년 12월까지 만 5년간 목포 성골롬반병원 산부인과에 입원 분만하였던 산모 총 17,755명중 502명의 임신중 고혈압성 질환 환자를 대상으로 임상통계학적으로 조사분석한 결과 다음과 같은 결론을 얻었다. 1. 총분만수에 대한 임신중 고혈압성 질환의 발생빈도는 2.83%였고, 매년 감소하는 경향을 보였다. 2. 분류에 의하면 경증 자간전증이 56.98%(286예), 중증 자간전증이 38.25%(192예), 자간증이 1.59%(8예), 만성 고혈압성 혈관질환이 3.18%(16예)였다. 3. 연령별 분포는 발생수는 25-29세군에서 가장 많았으나, 임신중 비고혈압성 질환군과 비교하였을때 35세이상에서는 높은 빈도를 보였다(p$lt;0.05). 4. 분만횟수별 발생수는 초산부에서 가장 많았고, 임신중 비고혈압성 질환군과 비교하였을때도 초산부에서 발생빈도가 가장 높았다(p$lt;0.05). 5. 계절별 분포는 동계에 가장 높은 분포를 보였으나 계절간의 의의있는 창를 보이지는 않았다. 6. 모체 혈액형에 따른 발생빈도는 A형에서 가장 높았다. 7. 태아 성별은 남아에서 53.7%로 빈도가 더 높았으나 큰 차이는 보이지 않았다. 8. 다태임신시 발생빈도는 18.75%로 단태임신에서의 임신중 고혈압성 질환의 발생빈도보다 월등히 높았다. 9. 임신기간과 신생아 체중은 임신중 고혈압성 질환군과 임신중 비고혈압성 질환군을 비교하였을때, 임신중 고혈압성 지롼군에서 조산과 저체중아의 발생빈도가 월등히 높았다(p$lt;0.05). 10. 산전관리 횟수는 전혀 산전관리를 받지 못한 경우가 32.1%였으며, 1회의 산전관리만을 받은 경우는 36.6%였다. 11. 분만방법은 질식자연분만이 30.9%, 질식유도분만이 21.9%, 질식흡입분만이 7.8%, 제왕절개술에 의한 분만이 39.4%였다. 12. 모성합병증은 빈혈 24.5%, 산후출혈, 4.6%, 태반조기박리 3.4%였고, 모성사망은 0.2%(1예)였다. 13. 태아 및 신생아 합병증은 자궁내 발육지연이 20.3%였고, 사산아는 0.8%, 신생아 사망은 3.6%였다. 14. 혈소판치가 10만/mm^3이하로 감소된 경우는 4.5%였다. This clinical study was undertaken for evaluation of 502 cases associated with hypertensive disorders in pregnancy, who were admitted to department of Obstetrics and Gynecology, St.Columban Hospital from January, 1988 to December, 1992. The results were as follows; 1. The incidence of hypertensive disorders in pregnancy (HDIP) was 2.83% of total deliveries. 2. Using the classification of American committee on Maternal Selfare, the incidence of hypertensive disorders in pregnancy was as follows; Preeclampsia, mild: 56.9% Preeclampsia, severe: 38.25% Eclampsia: 1.59% Chronic hypertensive vascular disorders: 3.18% 3.The highest number of HDIP was observed in the age group of 25-29, but the frequency of disease was higher in the age group above 35 years old. 4. According to parity, the higher frequency was noted innullipara. 5. Among four seasons, 29.5% of the patients were occurred in winter which was the most prevalent season, but a significant difference in seasonal distrubution was not noted. 6. Among four blood type, 44.8% of the patients were occurred in blood type A which was followed by B,O,AB,in orders. 7. There was slightly higher male predominance in fetuses of the hypertensive disorders in pregnancy, but a significantl difference was not seen. 8. The incidence of HDIP in twin pregnancy was 18.75%. 9. As to the gestational age and the birth weight, the preterm and the low birth weight were higher incidence in HDIP group than non-HDIP group. 10. The disease was more prevalent in women who did not take antenatal care. 11. 60.6% of the patients were delivered vaginally, 30.9% spontaneous, 21.9% induced, 7.8% with vacuum extraction and 39.4% of the patients were performed cesarean section. 12. As to maternal complication, anemia was found in 24.5$, postpartum hemorrhage in 4.6%, abruptio placentae in 3.4% and maternal death in 0.2%. 13. As to fetal complication, intrauterine growth retardation was found in 20.3%, stillbirth in 0.8% and neonatal death in 3.6%. 14. The mean level of platelet count was 226,800 /mm^3, and the group less than 100,000 was 4.5%

난소근종 1 예

이지신,신승권,김하봉,윤광혁,양해관,이성봉 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.8

저자들은 45세된 환자에서 난소에 발생한 평활근종 1예를 경험하였기에 간단한 문헌고찰과 함께 보고하는 바이다. Although smooth muscle is sometimes seeing a minor component of benign ovarian mullerian epithelial tumors, primary smooth-muscle tumors of the ovary are rare. These tumors only originate from smooth muscle in the walls of blood vessels in the cortical stroma, in the corpus luteum and in the ovarian ligaments at there point of attachment of the ovary. These tumors are usually asymptomatic and are usually found incidentally during operations or at autopsies. A case of 45-year-old woman with a leiomyoma of the ovary which was experienced on our hospital recently is presented with a review of literatuers.