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난구를 형성하고 있는 과립성세포 ( 난구세포 ) 가 생쥐배아 난할율에 미치는 영향
한혁동(HD Han),권장연(JY Kwon),한상원(SW Han),이영진(YJ Lee),차동수(DS Cha),김대현(TH Kim) 대한산부인과학회 1991 Obstetrics & Gynecology Science Vol.34 No.4
To study the effect of cumulus cells on the development of mouse embryos, one cell stage zygotes with cumulus cells(one cell stage zygotes-cumulus mass) and one cell stage zygotes without cumulus cells, which were treated with hyaluronidase, were cultured in Ham`s F-10 and Ham`s F-10 with 10% cord serum. Development of the blastocyst of one cell stage zygotes with cumulus cells was significantly higher than development of the blastocyst of one cell stage zygotoes without cumulus cells in Ham`s F-10 and Ham`s F-10 with 10% cord serum(P<0.05, P<0.017). In our results, cumulus cells which surround one cell zygotes promote the development of embryos.
자궁경부의 세포검사에서 비정상소견을 보인 중신관 잔유물 1 예
박수희(SH Park),한상원(SW Han),이상엽(SY Lee),정순희(SH Jung),차동수(DS Cha) 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.5
The mesonephron is regressed and the uterus is formed by fusion of the Mullerian ducts by the 8th gestational weeks. The mesonephric ducts are occasionally involved in the lower corpus and cervix of the uterus. Mesonephric duct remnants in the uterine cervix is an unusual condition that is often misdiagnosed as adenocarcinoma. Mesonephric hyperplasia does not appear to require therapy, even if it is found at the resection margin of a conization or hyterectomy specimen. It is important to distinguish benign mesonephric lesion from malignancy, to avoid overtreatment.
박찬호(CH Park),한상원(SW Han),최종환(JW Choi),차동수(DS Cha),조미연(MY Cho) 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.3
Anticoagulant therapy has an established place in the treatment and prophylaxis of a wide variety of thromboembolic problem. Advances in medicine and surgery have introduced anticoagulant therapy to younger patients, including women in their active menstrual years. Although hemorrhage into visceral organs compplicating anticoagulant therapy does not seem common, the possibility of ovarian hemorrhage must be considered in the menstruating female who is receiving anticoagulant therapy and who presents with sign and symptoms of intraperitoneal bleeding. Lack of awareness of the complication may result in delay in making a correct diagnosis and instituting appropriate therapy. We experienced one case of ovarian hematoma in patient receiving anticoagulant therapy, and report this case with a brief review of the concerned literatures.
임재영(JY Lim),한상원(SW Han),김대현(TH Kim),박영년(YN Park) 대한산부인과학회 1991 Obstetrics & Gynecology Science Vol.34 No.3
We experienced a case of fetal dwarfism on antenatal ultrasound and flat abdominal x-ray examination. And then the baby was delivered by cesarean section. The diagnosis was confirmed to thanatophoric dwarfism by clinical features, radiological and histological findings. We reported a case of thanatophoric dwarfism with review of literature.
김정현(JH Kim),한상원(SW Han),권장연(JY Kwon),정인배(IB Chung),이영진(YJ Lee),한혁동(HD Han),차동수(DS Cha) 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.9
This study was planned to evaluate the clinical and histopathological status of the ovarian malignant germ cell tumor, which was made on a series of 19 cases with ovarian malignant germ cell tumor, who were admitted, operated and confirmed with postoperative histopathological study at department of obstetrics and hynecology, Yonsei University Wonju Christian Hospital, during the period of 10 years from 1984 Jan. to 1993 Dec. The result obtained were as follows: 1. The incidence of malignant germ cell tumor among 691 cases of ovarian tumor and 141 cases of germ cell tumor were 2.7%(19/691) and13.5%(19/141). 2. Among malignant germ cell tumors by histopathological classification, dysgerminoma was most frequently reveal in 8 cases(42.1%), immature teratoma in 6 cases(31.6%), mixed germ cell tumor in 3 cases(15.8%), endodermal sinus tumor in 1 case(5.3%), embryonal carcinoma in 1 cases(5.3%). 3. Age distribution revearled between 8 and 31 years old, mean age was 17.4 years old, most frequently revealed in teenager. 4. According to FIGO classification, the patients were classified as; Stage I 84.2%, Stage III 5.3%, Stage IV 10.5%. 5. According to tumor markers, a-FP was increased in mixed germ cell cumor, b-HCG in mixed germ cell tumor and dysterminoma, CEA in immature teratoma, CA-125 in immature teratoma. 6. Six of 19 cases who were treated with multiple agent combination chemotherapy(VAC) underwent second-look procedure, and 2 cases have developed recurrence, 4 cases have completely remission. 7. Two cases have did who have endodermal sinus tumor and mixed germ cell tumor, and interval to death was 32 month and 28 month.
신승철(SC Shin),한상원(SW Han),김경률(KL Kim),권장연(JY Kwon),정인배(IB Chung),차동수(DS Cha) 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.7
A clinico-pathological study was made on a series of endometrial carcinomas experienced at the Department of Obstetrics and Gynecology, Yonsei University, Wonju College of Medicine, During the period from January, 1, 1981 to June 30, 1993. The results obtained were as follows: 1. The mean age of endometrial carcinoma was 56. 2. Annual incidence of endometrial carcinoma increased above 2.5 times during the period of 6 years from 1987 to 1993 compared to that of the 6 years from 1981 to 1986. 3. The proportion of nulliparity was 31.6%. 4. The most common histopathologic subtype of the endometrial carcinoma was adenocarcinoma(59.6%). 5. As to the presenting symptoms, postmenopausal abnormal vaginal bleeding was encountered in 76.7%, and lower abdominal pain was in 36.1%. 6. According to the clinical stage adopted from FIGO classification, stage I was found in 58.3%, stage II in 13.9%, stage III in 16.7%, stage IV in 11.1%. The higher the differentiation, the lower the clinical stage of endometrial carcinoma in stage III and IV. 7. Uterine size and lymph node metastases showed no statistical difference regardless of clinical stage of endometrial carcinoma. 8. As a diagnostic method of endometrial carcinoma, Pap.smear showed low positive rate(27.8%), but fractional curettage of endometrium revealed 100% of diagnostic accuracy. 9. Risk factor of endometrial carcinoma were infertility, hypertension and obesity.
정동원(DW Jung),한상원(SW Han),김남식(NS Kim),홍순원(SW Hong),양석우(SW Yang),홍민(M Hong) 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.9
Primary endometrial squamous cell carcinoma is extremely rare, with only 64 cases repo- rted in the literature. In 1928 Fluhmann proposed three criteria for differentiating primary from secondary endometrial squamous cell carcinoma:(1) no coexisting endometrial adenocarcinoma (2) no connection between the endometrial tumor and the squamous epithelium of the cervix, and (3) no squamous cell carcinoma of the cervix present. Several authors have modified these criteria in their case presentations. Kay accepts the presence of an in situ cervical carcinoma, if there is no connection between cervical carcinoma in situ and the endometrial tumors. We have experienced a case of simultaneous carcinoma in situ of the cervix and endomet- rial squamous cell careinoma. This case was treated with chemotherapy(cisplatin, 5-fluoruracil) and external radiation following extended hysterectomy and bilateral salpingooophorectomy We report this case with a review of the concerned literatures.
임창교(CK Lim),한상원(SW Han),이영진(YJ Lee),차동수(DS Cha),한혁동(HD Han),김대현(TH Kim) 대한산부인과학회 1992 Obstetrics & Gynecology Science Vol.35 No.11
Evans syndrome in association with pregnancy is a most unusual event which the development of acquired hemolytic anemia and idiopathic thrombocytopenic purpura in the same patient. The diagnostic criteria were considered to be as follows; the occurrence of acquired hemolytic anemia and thrombocytopenic purpura in a given patients with the two abnormalities occurring together or in succession, the absence of any apparent secondary etiologic factor and a positive result to the Coombstest. The optimal method of delivery is controversial, but the use of platelet counts of fetal scalp blood as a technique for identifying those thrombocytopenic fetuses seems to provide the most rational basis for management. We have recently experienced a case of Evans syndrome in pregnancy. So we report this case with a brief review of literature.
인간 난자의 체외수정 및 배아의 자궁내 이식 후 임신된 환자에서 혈중 β-hCG 측정에 의한 임신 결과 예측에 관한 연구
박기환(KH Park),한혁동(HD Han),오준환(JH Oh),홍민(M Hong),이영진(YJ Lee),한상원(SW Han) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.10
Serum level of β-subunit of human chorionic gonadotropin (β-hCG) at the post-ET day 16 was studied to evaluate its predictability of pregnancy outcome in 165 patients in vitro fertilization and embryo transfer (IVF-ET), which included 63 singleton pregnancies, 40 multiple pregnancies, 37 preclinical abortions, 20 clinical abortions and 5 ectopic pregnancies. In comparison to normal singleton pregnancies, multiple pregnancies showed significantly higher serum β-hCG level and preclinical abortions showed significantly lower serum β-hCG level, but Clinical abortions and ectopic pregnancies didn`t showed statistical significance level of serum β-hCG. In conclusion, determination of serum β-hCG level at post-ET day 16 is a useful tool for the prediction of preclinical abortions and multiple pregnancies.
이명순(MS Lee),한혁동(HD Han),이영진(YJ Lee),권장연(JY Kwon),차동수(DS Cha),한상원(SW Han),정인배(IB Chung),김대현(TH Kim) 대한산부인과학회 1992 Obstetrics & Gynecology Science Vol.35 No.5
This is clinical data based on the 343 cases of infertility patients visited to Wonju Christian Hospital during 4 years of period from November 1986 to July 1990. The results are as follows : 1. The annual incidence of infertility was 2.7% of total 12,507 out-patients and it was increased tendency during 1986∼1990. 2. The incidence of primary and secondary infertility was 44.3% and 55.7%, respectively. 3. Primary and secondary infertility were most common in 26∼30 years of age and the mean age was 28.9 and 30.2 years, respectively. 4. The duration of infertility varied 1∼20 years period and 1∼5 years duration was the most common which comprise about two third in primary and secondary infertility patients, the mean duration was 4.9 and 5.6 years, respectively. 5. The mean age of the menarche in primary and secondary infertility patients was 15.3 and 15.1 years, respectively. 6. The most common past history in primary and secondary infertility patients was pelvic inflammatory disease (35.8%) and previous operation (38.5%), respectively. But single the most common past history in secondary infertility was post-tubal ligation status (27.1%). 7. The etiologic factors of infertility were male (11.0%), ovulatory (24.9%), tubal (36.6%), uterine (5.1%), cervical (3.9%), peritoneal (2.3%), combined (7.4%), and unexplained (8.6%) one.