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박영선,이치중,성낙구,김흥용 대한산부인과학회 1991 Obstetrics & Gynecology Science Vol.34 No.4
1976년 1월부터 1989년 4월까지 14년 4개월간 서울을지병원 산부인과에 입원한 환자 25,601명중 자궁기형 24예, 질기형 7예를 발견하여 다음과 같은 결론을 얻었다. 1. 자궁기형은 입원환자 1,070명당 1예(0.09%)가 발견되었으며 쌍각자궁이 79%, 중격자궁이 21%였다. 2. 질기형은 입원환자 3,657명당 1예(0.03%)가 발견되었으며 질 형성부전이 29%, 질 중격이 71%였다. 3. 자궁기형의 진단은 개복술, 자궁난관조영술, 제왕절개술 등이 21~29% 비율로 이용되었으며 질기형은 모두 단순사진과 골반내진으로 진단되었다. 4. 선천성기형 환자가 병원을 찾게되는 주된 이유로는 산전진찰이 33%로 가장 높았으며, 이상 질 출혈 13%, 골반통, 1차성 불임증이 각각 10%, 무월경, 2차성 불임증이 각각 6%이었다. 5. 인공유산을 제외한 총 53회의 임신중 유산이 27회(51%), 조산이 2회(3.8%)였으며 태아손실율은 쌍각자궁이 51%, 중격자궁이 85.7% 질 중격이 40%이었다. 6. 만삭임부 10예중 4예(40%)가 둔위, 1예(10%)가 횡위였으며 신생아의 선천성 기형이나 태반조직의 잔류는 없었다. 7. 자궁성형술은 9예에서 실시했는데 1예에서 건강한 남아를 출산했으며 2예는 현재 임신중이고 3예는 계속 관찰중이다. 8. 질 형성부전 2예는 Mc-Indoe씨 수술을 시행하여 만족스런 결과를 얻었고 질 중격 2예는 중격을 제거하였다. The genital tract anomalies are rare but it can cause primary amenorrhea, infertility, recurrent abortion and other obstetrical complication. So the authers reviewed the 31 patients` medical records who were diagnosed as genital tract anomaly from January 1976 to April 1989 in Seoul Eul-Ji General Hospital Obstetrics and Gynecology department. And thereform, we summarized the results as follows: 1. Incidence of uterine anomaly was 0.09%(24 cases/25601 admission patients) and bicornuate uterus was 19 patients(79.2%), septate uterus was 5 patients(20.8%). 2. Incidence of vaginal anomaly was 0.03%(7 cases/25601 admission patients) and vaginal agenesis was 2 patients(28.6%), longitudinal vaginal septum was 3 patients(42.8%), transverse vaginal septum was 2 patients(28.6%). 3. The main diagnostic methods of uterine anomaly were laparotomy, hysterosalpingogram, cesarean section(21~29% of each other), and vaginal anomaly was diagnosed by simple inspection and pelvic examination. 4. The most common symptom was asymptomatic(33%) and vaginal spotting, pelvic pain, primary infertility were common problem(10~13% of each other). 5. Incidence of spontaneous abortion was 51%(27 cases/53 total pregnancies), preterm delivery was 3.8%(2 cases/53 total pregnancies) in uterine anomaly. The fetal wastage was 51% in bicornuate, 85.7% in septate, 40% in vaginal septum. 6. 4 breech presentations and 1 transverse lie were noted in 10 observed full term pregnancies. 7. The metroplasty was performed in 9 patients and thereafter one patient had one healthy baby, two patients are now in pregnancy without any complication. 8. The two patients of vaginal agenesis has been in good sexual life after Mc-Indoe operation and two cases of vaginal septum were resected.
위장에 발생한 다발성 유상피 혈관 육종 - 1예 보고 -
박경미,임성직,김정연,유영진,김성록,김흥용 대한병리학회 2003 Journal of Pathology and Translational Medicine Vol.37 No.6
Angiosarcoma is a very rare neoplasm, and even more so in the gastrointestinal tract where its distinction from adenocarcinoma may be extremely difficult. We report a case of multifocal epithelioid angiosarcoma of the stomach in a 65-year-old woman. Histologically, the tumor foci were composed of haphazard, anastomosing channels lined by malignant endothelial cells with epithelioid features. Those neoplastic cells stained positive for CD31, CD34, and factor VIII-related antigen.