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김현찬 ( Hyun Chan Kim ),승희진 ( Hee Jin Seung ),이병재 ( Byoung Jai Lee ),김우경 ( Woo Gyeong Kim ) 대한폐경학회 2009 대한폐경학회지 Vol.15 No.3
Facing to the recent aging society, Geriatric Gynecology is on the developing phase. The clinical features and co-morbidity of the aged woman are somewhat different from those of the younger. The Gynecologist as a primary physician and also a specialist has to cope with the demanding care of the aged, Therefore a guide, based on working knowledge, would be helpful for the better care of them. In this review, Items among the leading causes of morbidity/mortality and common complaints are selected and described briefly. (J Korean Soc Menopause 2009;15:145-163)
증례 : 소화기 ; 폐전이 및 뼈전이를 동반한 십이지장 혈관육종
박재현 ( Jae Hyun Park ),박종하 ( Jongha Park ),김민성 ( Min Sung Kim ),유종원 ( Jong Won Yu ),전기정 ( Gi Jung Jeon ),임성남 ( Sung Nam Lim ),김우경 ( Woo Gyeong Kim ) 대한내과학회 2015 대한내과학회지 Vol.89 No.2
An angiosarcoma is a rare soft-tissue neoplasm that develops anywhere in the body, and most commonly presents cutaneously in elderly white males, involving the head and neck, particularly the scalp. The neoplasm occurs only very rarely in the gastrointestinal tract. A patient was initially admitted to our hospital for treatment of dyspnea and hemoptysis. Both lungs contained multiple nodules, and a computed tomography (CT)-guided lung biopsy was performed. Endogastroduodenoscopy used to evaluate the anemia revealed a duodenal polypoid tumor. Microscopic examination showed that the tumor was a primary angiosarcoma of the duodenum with metastasis to the lung. In addition, positron emission tomography/CT revealed metastasis to the femur and the pelvic bone. Thus, we report a case of primary duodenal angiosarcoma with metastases to the lung and bone. (Korean J Med 2015,89:201-205)
강은정(Eun Jeoung Kang),안수현(Soo Hyeon Ahn),정철회(Chul Hoi Jeong),김우경(Woo Gyeong Kim),김기태(Ki Tae Kim),김현찬(Hyun Chan Kim) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.11
Schwannomas are benign nerve sheath tumors that can originate at any anatomic sites. These tumors are usually soitary, benign, and slow-growing masses attached to large nerve trunks. These tumors have been described as arising in the pelvic retroperitoneum. We present two cases of pelvic retroperitoneal Schwannomas with a brief review of literatures.
에탐부톨에 의한 호산구증가증과 전신성 증상증후군 및 이소니아지드에 의한 자가면역간염의 동시발생
최준혁 ( Joon Hyuk Choi ),허내윤 ( Nae Yun Heo ),박승하 ( Seung Ha Park ),박찬선 ( Chan Sun Park ),조경민 ( Kyeong Min Jo ),김우경 ( Woo Gyeong Kim ),남경한 ( Kyung Han Nam ) 대한소화기학회 2016 대한소화기학회지 Vol.67 No.5
Anti-tuberculosis drugs can produce levels of hepatotoxicity ranging from mild elevation of aminotransferase to severe acute hepatitis. A few cases of drug-induced autoimmune hepatitis or the drug reaction with eosinophilia and systemic symptom (DRESS) syndrome by anti-tuberculosis medications have been reported. However, concomitant occurrence of these two disorders has not been reported. Here, we present a case of severe acute hepatitis with DRESS syndrome and autoimmune hepatitis resulting from primary standard anti-tuberculosis drugs. Both conditions were successfully treated with a systemic steroid regimen. (Korean J Gastroenterol 2016;67:267-271)
자궁경부의 Glassy cell carcinoma 2예
김기태,김현찬,김우경,허윤근,류문철,민유선 대한부인종양 콜포스코피학회 1994 Journal of Gynecologic Oncology Vol.5 No.4
Glassy cell carcinoma is a histologic subtype of cervical cancer with distinct pathologic features and it has an aggressive biologic course. It was first described by Glucksmann and Cherry in 1956 as a poorly differentiated adenoquamous carcinoma and commented on its poor prognosis, unresponsiveness to traditional modes of therapy, and often associated with pregnancy. The characteristic histologic features are defined as follows: 1) cells with a moderate amount of cytoplasm resembling ground glass, 2) a fairly distinct cell membrane that stains with eosin or PAS, 3) large nuclei with prominent nucleoli. We present two cases of glassy cell carcinoma of the cervix successfully treated by neoadjuvant chemotherapy and radical hyterectorny, with a brief review of literatures.
이경복,김우경,김현찬 인제대학교 1998 仁濟醫學 Vol.19 No.2
자궁 적출술에 관한 국내외의 여러 보고에서 이미 복식 전자궁적출 및 복강경하 질식 전자궁 적출술에 비해서 질식 전자궁 적출술이 더 좋을 수도 있다는 보고에도 불구하고 대부분이 복식 전자궁 적출술로 자궁적출을 시행하고 있는 실정이다. 따라서 저자는 양성 부인과 질환과 자궁경부 상피내암 및 미세침윤암 환자 47예에서 질식 전자궁 적출술을 시행하여 안전성 및 술후의 결과에 대해서 임상적으로 고찰하여 향후 자궁 적출술의 방법선택에 지침을 얻고자 한다. A clincal study was made to evaluate the feasibility, safety, complications, & outcomes on 47 cases of vaginal hysterectomy excluding patients with prolapse uteri at the department of Obstetrics and Gynecology, Pusan Paik Hosp., College of Medicine, Inje university during the period from Jan 1996 to Dec 1997. The results were as follow : 1.The average age of patients was 46.17±8.21(31∼75) years old. Forty-seven(51%) patients were in their forties. 2.The average parity more than twice was 80.8%. Of the 47 patients, 2.2% were nullipara. Over four fifth of 47 patients had the history of vaginal delivery. 3.About one forth of 47 patients had the past history of previous abdominal operation. 4.The most common indications of vaginal hysterectomy were uterine leiomyoma and adenomyosis(70.2). Carcinoma in situ and microinvasive carcinoma of the cervix were 23.4% & 6.4%, respectively. 5.The combined operation were performed at 46.8%. The most common one was salpingo-oophorectomy. The colphorraphy was performed at 8.5% of the cases. The diagnostic laparoscopy was performed at 12.8% in the patients with past history of previous abdominal operations. 6.Over 90% of 47 vaginal hysterectomies were performed less than 90 minutes. The average time was 72.34±17.19 minutes. 7.The most common blood loss was 200∼300cc(36.2%). The majority of bloos loss was less than 400cc(86.6% ). The average blood loss was 271.28±127.58mL. 8.The majority of uterine weight was 100∼199gm(40.4%). 17.1% was more than 300 gm in weight. The average uterine weight was 194.77±86.32gm. 9.No major complications occurred during or after operation. 10.The hospital stay of 3 days or less was 61.7%. The average hospital stay was 3.45±0.95 days. The causes of delayed discharge(5 days or more hospital stay) were not operation-related complications but patient's associated medical problems. In conclusion, the outcomes of the vaginal hysterectomy mainly depends on the operator's experience. The articles published till now reported that the vaginal hysterectomy was superior to abdominal & laparoscopically assisted vaginal hysterectomy in the aspect of low complication rates, shortened hospital stay, and low hospital costs. Special techniques, sometimes, such as uterine morcellation, coring, and bisection at the time of vaginal hysterectomy are enable us to remove uterine tumor vaginally. Deciding to perform hysterectomy under suitable indications, it is resonable to perform vaginal hysterectomy to reduce the psychological, physical, and financial burdern.
이경복,김우경,성문수,김기태,김현찬 인제대학교 1999 仁濟醫學 Vol.20 No.2
Hysterectomy is one of the most frequently performed gynecological surgical procedures worldwide. In the united states, abdominal hysterectomy has been performed more commonly than vaginal hysterectomy for benign disease by a ratio of 3:1 Rapid progress and technical advances in laparoscopy have been developed during past two decades. After the first report of laparoscopic assisted vaginal hysterectomy by Reich et at in 1989, the number of hysterectomies performed with laparoscopic assistance has grown steadily. Now gynecologic surgery may be performed laparoscopically in 30% to 80% of patients currently undergoing laparotomy. Perceived benefits may include decreased hospital stay, less pain, rapid recovery, and fewer complications. We conducted this clinical trial to get experience on the 41 cases of laparoscopically assisted vaginal hysterectomy, performed at Department of Obstetrics and Gynecology, Inje university Pusan Paik hospital from Feb., 1996 to June, 1997 The results were as follows : 1.The operation time ranged from 80 to 205 minutes(mean : 119.88±25.33 minutes) 2.The blood loss ranged from 100 to 1,370 mL(mean : 447.56±244.43mL) 3.The uterine weight ranged from 69.5gm to 320.5gm(mean : 230.54±66.60gm). 4.The rate of complications was 10.7% {transfusion : 10.2%. laparotomy due to severe hemorrhage(0.25%) & bladder injury(0.25% )}. 5.The hospital stay ranged from 3 to 8 days(mean: 3.71±1.03 days). In conclusion, with an rapid progress & technical advances in laparoscopy, hysterectomy can be safely performed vaginally with the assistence of laparoscope.