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재발성 자궁경부암에서 TIP (Paclitaxel, ifosfamide, cisplatin) 항암 화학요법의 효과에 관한 연구
최철훈 ( Chel Hun Choi ),김철중 ( Chul Jung Kim ),이선주 ( Sun Joo Lee ),이정원 ( Jeong Won Lee ),박창수 ( Chang Soo Park ),손영수 ( Young Soo Son ),김병기 ( Byoung Gie Kim ),이제호 ( Je Ho Lee ),배덕수 ( Duk Soo Bae ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.11
김문경 ( Moon Kyung Kim ),최철훈 ( Chel Hun Choi ),송태종 ( Tae Jong Song ),박황신 ( Hwang Shin Park ),이유영 ( Yoo Young Lee ),김태중 ( Tae Joong Kim ),이정원 ( Jeong Won Lee ),이제호 ( Je Ho Lee ),배덕수 ( Duk Soo Bae ),김병기 ( 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.6
To present a case of successful robotic assisted radical trachelectomy. A nulliparous woman with early cervical cancer underwent a laparoscopic radical trachelectomy and pelvic lymphadenectomy with the da Vinci robot (Intuitive Surgical Inc., Sunnyvale, CA). After the pelvic lymph nodes were found negative on frozen section, the parametria, paracolpia and uterosacral ligaments were dissected transabdominally sparing the ascending branches of the uterine arteries. Cervical transection and vaginal closure were performed transvaginally. Surgical time was 450 min. No perioperative complications were noted. Robotic laparoscopic radical trachelectomy may bridge the gap between laparotomy and laparoscopy for radical trachelectomy.
히크만 카테터를 시술한 자궁경부암 환자에게서 이차적으로 발생한 상대정맥증후군
강푸른나래 ( Pureun Narae Kang ),최철훈 ( Chel Hun Choi ),이정원 ( Jeong Won Lee ),김병기 ( Byoung Gie Kim ),배덕수 ( Duk Soo Bae ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.10
Most of superior vena cava syndrome are caused by malignant tumors involving the mediastinum (usually lung cancer or lymphoma). However, iatrogenic cause has become more important since it has become common to utilize long-term central venous catheters for chemotherapy or hyperalimentation therapy. Although the cancer patients are also at relatively high risk, there are only few case reports of superior vena cava syndrome in gynecologic cancer. We present a case of iatrogenic superior vena cava syndrome related with Hickman catheter in advanced cervical cancer patient treated with concurrent chemoradiotherapy.
위암, 유방암, 난소암의 원발성 중복암이 있었던 환자의 증례보고
최현진 ( Hyun Jin Choi ),최철훈 ( Chel Hun Choi ),김태중 ( Tae Joong Kim ),강희석 ( Hui Suk Kang ),이은주 ( Eun Ju Lee ),이정원 ( Jeong Won Lee ),김병기 ( Byoung Gie Kim ),이제호 ( Je Ho Lee ),배덕수 ( Duk Soo Bae ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.12
Multiple primary cancer means that more than two cancers are independently developed in one individual. The incidence of multiple primary malignancy is extremely rare although the prevalence rate is increasing recently. Gynecologic malignancies are especially prone to be associated with primary neoplasms elsewhere. Most of multiple primary cancer is double primary, however triple primary cancer is rare. We experienced a case of metachronous triple primary cancer involving stomach, breast and ovary. So, we report the case with a brief review of literatures.
만삭 전 조기양막파수에서 분만 잠복기에 따른 주산기 예후에 관한 연구
김우선 ( Woo Sun Kim ),최철훈 ( Chel Hun Choi ),이수호 ( Su Ho Lee ),최석주 ( Suk Joo Choi ),김지운 ( Ji Un Kim ),이은실 ( Eun Sil Lee ),손영수 ( Young Soo Son ),김종화 ( Jong Hwa Kim ),노정래 ( Cheong Rae Roh ) 대한주산의학회 2004 Perinatology Vol.15 No.4
목적 : 조기양막파수 산모에서 양막파수에서 분만까지의 기간(잠복기)이 주산기 예후에 미치는 영향을 조사하기 위하여 본 연구를 시행하게 되었다. 방법 : 1996년 1월부터 2003년 10월까지 조기양막파수로 34주 이전에 분만한 223명을 대상으로 분만 잠복기에 따라 6군(I군 : 6시간 이하, II군 : 6시간~2일, III군 : 2~4일, IV군 : 4~7일, V군 : 7~12일, VI군 : 12일 이상)으로 구분한 후 각 군의 임상 양상과 주산기 예후를 관찰하였다. 결과 : 전체 산모의 입원 시 평균 임신 주수는 29.6±2.6주이었고 양막파수 당시 평균 양수지수는 7.3±5.0 이었다. 평균 분만 주수는 30.6±2.4주였고, II군과 III군에서 유의하게 높았다(p=0.0017). 중앙 잠복기는 전체 산모에서 102시간(4일 6시간)이었고 67%의 산모가 1주 이내에 분만하였다. 분만 잠복기는 양막파수 당시 주수가 30주 이하일 때(175시간 vs. 76시간, p=0.001) 연장되었고, 자궁 수축 억제제를 사용했을 때(131시간 vs. 33시간, p=0.001) 분만 잠복기는 유의하게 증가하였다. 양막파수 당시 양수지수는 잠복기에 영향을 미치지 않았다(p>0.05). 분만 주수를 보정하였을 경우 V군에서 조직학적 융모양막염이 유의하게 많이 발생하였고(60%), 분만 잠복기가 증가함에 따라 신생아 중환자실 재원 기간이 증가하였다. 신생아 호흡곤란 증후군은 II군과 IV군에서 I군에 비해 유의하게 적게 발생하였다(12%, 16% vs. 69%). 신생아 사망률은 I군이 18%로 가장 높았고, 분만 주수를 보정하였을 때에도 같은 결과를 보였으나 I군을 제외한 다른 군들 간에는 유의한 차이가 없었다. 그 외 다른 신생아 합병증은 각 군간 유의한 차이가 없었다. 결론 : 만삭 전 조기양막파수에서 즉각적인 분만보다는 적극적인 관찰요법을 통하여 분만 잠복기를 연장시키는 것이 신생아 사망이나 신생아 호흡곤란 증후군의 빈도를 줄이는데 도움이 되나 7일 이상 지연시키는 것은 주산기 예후의 향상과는 관계없이 감염성 합병증을 증가시키는 것으로 보인다. Objective : To evaluate the clinical characteristics and perinatal outcomes in relation to the latency period after preterm premature rupture of membrane (PPROM). Methods : We analyzed retrospectively the 223 pregnant women with PPROM who delivered before 34 weeks of gestation in Samsung Seoul Hospital from January 1996 to October 2003. The study population was divided into six groups according to the larency from membrane rupture and delivery (group I : shorter than 6 hours, group II : 6~48 hours, group III: 2~4 days, group IV : 4~7 days, group V : 7~12 days, group VI : beyond 12 days). Results : The mean gestational age (GA) at rupture was 29.6±2.6 weeks and the mean GA at delivery was 30.6±2.4 weeks. The median latency was 102 hours and 67% of patients delivered within 7 days. The latency was prolonged with GA at rupture before 30 weeks and used of tocolytics. After adjustment of GA at delivery, pathologic chorioamnionitis occurred more frequently in group V than group I. Respiratory distress syndrome occurred less frequently in group II and group IV than group I. Neonatal mortality rate was highest in group I, but the other neonatal morbidities were not significant differences. Conclusion : In PPROM with delivery before 34 weeks, prolongation of the latency longer than 6 hours seems to be beneficial for reducing neonatal RDS and mortality, but infectious morbidity seems to increase when the latency was prolonged longer than 7 days without any benefits for perinatal outcomes.
초기 자궁내막암 환자에서의 복강경유도하 질식 자궁절제술과 복식 자궁절제술에 대한 비교 연구
김민규 ( Min Kyu Kim ),최동석 ( Dong Seok Choi ),김우영 ( Woo Young Kim ),최철훈 ( Chel Hun Choi ),김태중 ( Tae Joong Kim ),이정원 ( Jeong Won Lee ),김병기 ( Byoung Gie Kim ),이제호 ( Je Ho Lee ),배덕수 ( Duk Soo Bae ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.12
Objective: To compare laparoscopic surgery with conventional abdominal surgery in patients with early stage endometrial cancer. Methods: A retrospective review of 63 patients with early stage endometrial cancer managed between March 2003 and May 2005. Two groups were defined whether they had been treated by laparoscopy (case group: n=26) or by laparotomy (control group: n=37). We compared age, body mass index (BMI), hemoglobin change, operation time, number of pelvic lymph nodes, hospital stay, case with adjuvant treatment and recurrence between two groups. Results: There was no statistical difference in characteristics (age, BMI, nulliparity, previous abdominal surgery, FIGO stage, histologic grade). between case and control group. In addition, there was no statistical difference in operation data and outcomes between two groups. Hemoglobin changes were 1.1 g/dL (case group) vs 1.7 g/dL (control group) (p=0.072). Operation time was 131 min vs. 115 min. The numbers of lymph nodes obtained were 8.7 vs 7.7 (right) 9.2 vs. 7.6 (left). Hospital stays were 8.4 vs. 9.2 days. Adjuvant treatment cases were 7 vs. 15. Recurrent case was one in each group. Two patients initially evaluated by laparoscopy were converted to laparotomy due to bleeding and adhesion. Conclusion: Laparoscopic surgery for treatment of early endometrial cancer is a safe and effective alternative to laparotomy . However, long-term survival and risk of recurrence have yet to be determined.
이예리 ( Ye Ri Lee ),유지연 ( Ji Yeon You ),최철훈 ( Chel Hun Choi ),김병기 ( Byung Gie Kim ),배덕수 ( Duk Soo Bae ),이제호 ( Je Ho Lee ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.2
Growing teratoma syndrome (GTS) is an increase in tumor size containing only mature teratoma component, during or after chemotherapy for germ cell tumors. A surgical resection is important to confirm diagnosis and is considered as the most appropriate therapeutic management. GTS is rare event in association with ovarian germ cell tumors. In this report, we present a case of GTS which occurred following the treatment of mixed ovarian germ cell tumor with immature teratoma and endodermal sinus tumor. The patient was given adjuvant chemotherapy consisting of six cycles of etoposide and cisplatin. Abdomen pelvis computed tomography performed after chemotherapy demonstrated no evidence of recurrence. She is on regular follow up and remained disease-free for 8 months following second surgery.
임신 32주 이전에 발병한 중증 자간전증에서 분만 지연에 따른 주산기 예후
민정애 ( Jung Ae Min ),이수호 ( Su Ho Lee ),최철훈 ( Chel Hun Choi ),최석주 ( Suk Joo Choi ),김지운 ( Ji Un Kim ),이은실 ( Eun Sil Lee ),손영수 ( Young Soo Son ),김종화 ( Jong Hwa Kim ),노정래 ( Cheong Rae Roh ) 대한주산의학회 2004 Perinatology Vol.15 No.4
목적 : 임신 32주 이전에 발병한 자간전증 산모를 대상으로 입원에서 분만까지의 기간(분만 지연)에 따른 신생아 예후의 차이를 알아보고자 하였다. 방법 : 1996년 1월부터 2004년 2월까지 삼성서울병원 산부인과에서 분만한, 입원 당시 임신 주수가 32주 이전인 자간전증 환자 89예를 대상으로 의무기록을 검토하였다. 분만 지연 기간이 2일 이하인 즉각 분만군과 2일 초과인 보존적 치료군으로 나누어서 치료 방법의 차이 및 신생아의 예후를 비교하였다. 다태 임신, 당뇨, 만성 고혈압, 전치 태반 등은 대상에서 제외하였다. 결과 : 즉각 분만군은 40예였고 보존적 치료군은 49예였다. 입원 시 모체 연령, 산과력, 임신 주수, 혈압, 단백뇨 등은 두 군간에 차이가 없었다. 입원 후 투여한 약물 중 부신 피질 호르몬은 보존적 치료군에서 현저하게 많이 투여되었다(89.8% vs. 52.5%, p<0.0001). 분만 후 신생아의 저체중, 태아 사망을 비롯한 미숙아 합병증의 빈도는 두 군간에 유의한 차이가 없었으나, 신생아 호흡곤란 증후군은 보존적 치료군에서 의미있게 감소하였다(46.9% vs. 62.5%, p=0.0315). 그러나 분만 시 임신 주수를 보정한 결과 신생아 호흡곤란 증후군의 발생은 두 군간에 유의한 차이를 보이지는 않았다(p=0.223). 결론 : 임신 32주 이전의 중증 자간전증 환자에게 있어 분만의 지연이 신생아 호흡곤란 증후군을 제외한 다른 미숙아 합병증의 발생 빈도에 영향을 주지 않는 것으로 보이고, 신생아 호흡곤란 증후군의 발생 빈도에 대해서는 부신 피질 호르몬의 사용 여부에 따른 영향보다 분만 시 임신 주수가 가장 중요한 인자로 보인다. Objective : To study the differences in the pregnancy outcomes of severe preeclampsia before 32 weeks of gestation in relation to the latency between admission and delivery. Methods : We reviewed medical records of 89 pregnant women who were managed in Samsung Medical Center because of severe preeclampsia before 32 weeks of gestation between January 1996 and February 2004. We studied the differences in the management and the neonatal outcomes between the immediate delivery group (admission to delivery ≤2 days) and the expectant management group (admission to delivery>2 days). We excluded maternal renal disease, chronic hypertension, multiple pregnancies, diabetes and placenta previa from this study. Results : 40 women were included in the immediate delivery group and 49 women in the expectant management group. Antenatal corticosteroid was given pregnant women in the expectant management group (89.8% vs. 52.5%, p<0.0001). There was no significant difference in the occurrence of small for gestational age- and prematurity-related complications including neonatal mortality. There was significantly less respiratory distress syndrome in the expectant management group (46.9% vs. 62.5%, p=0.0315). However this difference disappeared when the adjustment was made to the gestational age at delivery (p=0.223). Conclusion : The latency period does not seem to alter the neonatal prognosis in severe preeclampsia before 32 weeks of gestation but the gestational age at the delivery, a reflection of the severity of the preeclampsia, seems to be the single most important factor for the occurrence of neonatal respiratory distress syndrome.