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김용일(Yong Il Kim),유종우(Chong Woo Yoo),권기영(Ghee Young Kwon) 대한소화기학회 1997 대한소화기학회지 Vol.30 No.4
Lipohyperplasia of the ileocecal valve is a rarely diagnosed lesion of unknown etiology and uncertain significance, which is characterized by diffuse infiltration of mature adipose tissue in the submucosal layer of the ileocecal valve. For endoscopists and radiologists, it has often remained difficult to make a distinction from malignant neoplasia. We describe two cases of lipohyperplasia of the ileocecal valve, all histopathologically diagnosed after major surgery. Case 1 was a 44-year-old male with abdominal distention and epigastric discomfort for two years. Preoperatively villous adenoma with suspicious cancerous changes in the ascending colon was suspected and a right hemicolectomy was performed. Grossly, a tongue-like projection of the enlarged ileocecal valve up to 3*1.5cm was featured microscopically with heavy deposition of mature fat tissue in the subucosal layer. Case 2 was a 33-year-old female with an episode of melena. After radiologic and endoscopic study for Behcets enterocolitis, the right hemicolectomy was performed. Grossly, the ileocecal valve was enlarged up to 3cm and the histologic feature was similar to that of the first case. Through these two cases, we made the conclusion that an appropriate understanding of ileocecal valvular hyperplasia seems to be the first step to make a preoperative histologic diagnosis and prevent oversurgery. (Korean J Gastroenterol 1997; 30:541-546)
원발성 복막암 혹은 난소암으로 의심된 결핵성 복막염 2예 복강경을 이용한 감별진단
이승미 ( Seung Mi Lee ),유원정 ( Won Jeong Yoo ),김혜진 ( Hye Jin Kim ),유종우 ( Chong Woo Yoo ),박상윤 ( Sang Yoon Park ),서상수 ( Sang Soo Seo ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.8
Peritoneal tuberculosis is a rare presentation of tuberculosis. The presenting signs and symptoms, imaging examinations and CA-125 status in peritoneal tuberculosis sometimes resemble that of ovarian cancer. Thus, the possibility of peritoneal tuberculosis should be considered in the differential diagnosis of ovarian carcinoma. We report two cases of peritoneal tuberculosis initially suspected as ovarian carcinoma but diagnosed as peritoneal tuberculosis with laparoscopy. Using diagnostic laparoscopy unnecessary laparotomy was avoided. We suggest that diagnostic laparoscopy can be helpful in differential diagnosis between peritoneal tuberculosis and ovarian carcinoma.
이정윤 ( Jung Yun Lee ),박주희 ( Ju Hee Park ),최재호 ( Jae Ho Choi ),유종우 ( Chong Woo Yoo ),강석범 ( Sok Bom Kang ),서상수 ( Sang Soo Seo ),박상윤 ( Sang Yoon Park ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.9
Metastasis to the uterus from extrapelvic malignancy is rare. We experienced a patient who underwent a total gastrectomy and adjuvant chemotherapy due to gastric cancer and subsequently suffered from recurrence at the site of the uterine myoma. This is the first known case report of metastatic adenocarcinoma at uterine myoma from gastric cancer in Korea. We report this case with a brief review of literature.
Advanced-Stage Sertoli-Leydig Cell Tumor 치료
김정식 ( Jung Shick Kim ),윤영민 ( Young Min Yoon ),유종우 ( Chong Woo Yoo ),전현아 ( Hyun A Jun ),김홍배 ( Hong Bae Kim ),이근영 ( Guen Young Lee ),강성원 ( Sung Won Kang ) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.11
Sertoli-Leydig cell tumors belong to the group of sex-cord stromal tumors of the ovary. They account for less than 0.5% of all ovarian tumor. They occur predominantly at premenopausal women and rarely at postmenopausal and prepubertal. Most common symptom
박주희 ( Ju Hee Park ),임명철 ( Myong Cheol Lim ),김상욱 ( Sang Wook Kim ),김슬기 ( Seul Ki Kim ),유종우 ( Chong Woo Yoo ),박상윤 ( Sang Yoon Park ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.10
Serous borderline tumors (SBTs) of the fallopian tube are very rare and usually diagnosed incidentally. We present a case of SBTs of left fallopian tube incidentally diagnosed during laparoscopic hysterectomy because of increasing symptomatic myoma. Preoperative abdomino-pelvic CT revealed 6 cm sized myoma in uterus but no gross lesion on both adnexa. Preoperative serum CA 125 was 18.9 U/mL. At laparoscopy a 2.0 cm sized polypoid mass protruding from the ampulla portion of the left tube was found. The contralateral fallopian tube, ovaries and uterus were unremarkable except previous known uterine myoma. Exploration of the abdomino-pelvic cavity has shown no abnormal finding. Intraoperative frozen biopsy to tubal mass suggested borderline malignancy but did not completely rule out tubal carcinoma. So, standard laparotomy staging operative procedures such as hysterectomy, bilateral salpingooophorectomy, omentectomy, lymph node dissection, and appendectomy were performed. Serous borderline tumor limited tube was confirmed in permanent pathology. In English literature, only 7 cases have been reported. And the current case is the first report in Korean as far as we know. Treatment for SBTs of fallopian tube is complete excision like borderline ovarian tumor. Recurrence was not reported with up to 6 year follow up in 7 cases.
김슬기 ( Seul Ki Kim ),임명철 ( Myong Cheol Lim ),이정윤 ( Jung Yun Lee ),박주희 ( Ju Hee Park ),유종우 ( Chong Woo Yoo ),박상윤 ( Sang Yoon Park ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.9
Sclerosing peritonitis is an unusual fibrosing condition predominantly involving the omentum and simulating carcinoma. The presenting signs and symptoms, imaging examination and cancer antigen 125 (CA-125) status in sclerosing peritonitis sometimes resemble those of ovarian cancer. Thus, the possibility of sclerosing peritonitis should be considered in the differential diagnosis of ovarian carcinoma. It may occur idiopathically and secondary to chronic peritoneal dialysis, the use of peritoneovenous shunt, practolol therapy, or in association with ovarian tumors such as ovarian teratoma. We report a case of peritonitis initially suspected as ovarian carcinoma but diagnosed as sclerosing peritonitis associated with teratoma.