1.A case of preoperative angiographic uterine artery embolization for the conservative treatment of cervical pregnancy.
Ki Young RYU ; Young Gyu LEE ; Soon Young SONG ; Ja Hong KOO ; Hwa Eun OH
Korean Journal of Obstetrics and Gynecology 2000;43(5):936-940
A 35 year old woman, gravid 5, multiparous, was admitted to our department at 6 weeks and 5 days of gestation after being diagnosed with cervical pregnancy. Before the evacuation, the uterine arteries were embolized using angiographic techniques. As a result, dilatation and curettage were performed with minimal hemorrhage. We report one case of cervical pregnancy managed, successfully with preoperative uterine artery embolization and evacuation.
Adult
;
Dilatation and Curettage
;
Female
;
Hemorrhage
;
Humans
;
Pregnancy*
;
Uterine Artery Embolization*
;
Uterine Artery*
2.A Case of Rapidly Growing Huge Granulosa Cell Tumor of the Ovary.
Chang Gu KANG ; Seok JUNG ; Yu Yung BAE ; Ae Byule PARK ; Kyung Soo KIM ; Jin Gyu SUN ; Kwang Soo KEE ; Hun Jung IM
Korean Journal of Obstetrics and Gynecology 2000;43(5):932-935
Ovarian granulosa cell tumor is a uncommon low-grade feminizing malignancy. Its natural history shows slow growth without pain. It often reveals to be very large sized mass when diagnosed, and is confined to the involved ovary in many cases. Complete surgical removal is primary treatment and recurrences thereafter are relatively common. Postoperative adjuvant therapy including reoperation, chemotherapy, radiation therapy or a combination therapy has been used with various degrees of success. We experienced a case of huge ovarian granulosa cell tumor occupying whole abdominal cavity by rapid growth, which is presented with a brief review of corresponding literatures.
Abdominal Cavity
;
Drug Therapy
;
Female
;
Granulosa Cell Tumor*
;
Granulosa Cells*
;
Natural History
;
Ovary*
;
Recurrence
;
Reoperation
3.Three cases of successful pregnancy outcome after intensive care in the patients with complete uterine septum, cervical duplication and longitudinal vaginal septum.
Suk Hoon KIM ; Hee Chul KIM ; Dong Jin LEE ; Ji Hong SONG ; In Ok SONG ; Keun Jai YOO ; In Soo KANG
Korean Journal of Obstetrics and Gynecology 2000;43(5):927-931
Three cases of successful pregnancy outcome after intensive care in the patients with rare mullerian anomaly of complete uterine septum, hypoplastic cervical duplication and longitudinal vaginal septum in infertility clinic are reported. These presented three cases are the reports of supporting the embryologic hypothesis of bidirectional mullerian development which fusion and resorption begins at the isthmus and proceeds simultaneously in both the cranial and caudal directions rather than the classical views of unidirectional(caudal to cranial) mullerian development. Thus, we present here three cases of rare mullerian anomaly and their pregnancy outcomes in an attempt to alert gynecologist to the possible occurrence of such a malformation. In 2 cases, successful pregnancy outcomes were achieved after abdominal or hysteroscopic uterine septotomy before pregnancy and in the last case, successful pregnancy outcome intensive obstetric care was achieved even under uncorrected uterine anomaly and complete removal of uterine septum resulted in uneventful postoperative courses at the same time of cesarean section.
Cesarean Section
;
Female
;
Humans
;
Infertility
;
Critical Care*
;
Pregnancy
;
Pregnancy Outcome*
;
Pregnancy*
4.A Case of Female Pseudohermaphroditism with m llerian agenesis, urinary tract malformations, and imperforate anus.
Yoon Sook KIM ; Sang Sool KIM ; Hyung Il KIM ; Byung Jo MIN ; Mi Young PARK ; Kyung Soon LEE
Korean Journal of Obstetrics and Gynecology 2000;43(5):922-926
Special idiopathic female pseudohermaphroditism with urinary tract, m llerian duct, and lower gastrointestinal tract anomalies, in addition to masculinization of the external genitalia, is rare phenomenon. Masculinization of external genitalia and other anomalies occur in the absence of a recognized exposure to androgen or other teratogenic factors. We report a case of a female pseudohermaphroditism with m llerian agenesis, bilateral multicystic dysplastic kidney, urethral agenesis, left double ureter, rectovesical fistula, imperforate anus, single umbilical artery, detected after therapeutic abortion at 23+5 weeks of gestational age. The final diagnosis is based on autopsy.
46, XX Disorders of Sex Development*
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Abortion, Therapeutic
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Anus, Imperforate*
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Autopsy
;
Diagnosis
;
Female*
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Fistula
;
Genitalia
;
Gestational Age
;
Humans
;
Lower Gastrointestinal Tract
;
Multicystic Dysplastic Kidney
;
Pregnancy
;
Single Umbilical Artery
;
Ureter
;
Urinary Tract*
5.Ultrasound-directed paracentesis of idiopathic massive fetal ascites.
Yun Seok YANG ; Jun Sook PARK ; Joong Gyu HA ; Seung Taek KIM ; Mi Hye PARK ; Kwoan Young OH ; In Taek HWANG ; Ji Hak JEONG
Korean Journal of Obstetrics and Gynecology 2000;43(5):918-921
Isolated fetal ascites may be different from general category of nonimmune hydrops in both prenatal course and prognosis. We experienced one case of isolated fetal ascites of unknown origin treated by in utero ultrasound-directed paracentesis and so present it with brief review of literature.
Ascites*
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Edema
;
Paracentesis*
;
Prognosis
6.A case of advanced ovarian cancer which was treated with topotecan after taxol-cisplatin treatment failed.
Hyun Soo CHOI ; Chu Yeop HUH ; Seung Bo KIM
Korean Journal of Obstetrics and Gynecology 2000;43(5):914-917
Ovarian cancer has the highest mortality rate among gynecologic malignancies in developed countries. Most women present with advanced disease and require a combination of surgery and chemotherapy. One patient presented with recurrent ovarian cancer was initially treated with taxol and platinum-based compounds. Although response to these agents occurred, tumor progression was evident by elevated CA 125 levels and CT findings after a period of 4 months. This patient was then treated with topotecan and exhibited a response and stopped therapy. Topotecan exhibited activity in this patient with ovarian cancer resistent to both platinum and paclitaxel. We report a case of advanced ovarian cancer which was treated with topotecan after taxol-cisplatin treatment failed.
Developed Countries
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Drug Therapy
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Female
;
Humans
;
Mortality
;
Ovarian Neoplasms*
;
Paclitaxel
;
Platinum
;
Topotecan*
7.Two cases of ovarian leiomyoma.
Chae Woong PARK ; Chan Woo JUNG ; Soo Mi LEE ; You Mee KANG ; Jae Hee HAN ; Tae Il CHO ; Duk Young KO
Korean Journal of Obstetrics and Gynecology 2000;43(5):910-913
Ovarian myoma is a rare mesenchymal tumor, accounting for only 1% of benign ovarian neoplasm. These tumors only originate from smooth muscle on the walls of blood vessels in the cortical stroma, in the corpus luteum and in the ovarian ligaments at the point of attachment to the ovary. Most patients are asymptomatic and the tumors are usually found incidently during operations or at autopsies. Two cases of ovarian myoma experienced in our hospital recently are reported with a brief review of the literatures."
Autopsy
;
Blood Vessels
;
Corpus Luteum
;
Female
;
Humans
;
Leiomyoma*
;
Ligaments
;
Muscle, Smooth
;
Myoma
;
Ovarian Neoplasms
;
Ovary
8.Radical abdominal trachelectomy with pelvic lymphadenectomy: Report of 2 cases.
Ho Sun CHOI ; Seok Mo KIM ; Kwang Sik SHIN ; Hyoung Choon KIM ; Ji Soo BYUN ; Jong Hee NAM
Korean Journal of Obstetrics and Gynecology 2000;43(5):905-909
Traditionally, radical hysterectomy is the main surgical method for the treatment of early cervical carcinoma and always results in the loss of fertility. But, large numbers of young women are recently being diagnosed with cervical carcinoma and fertility preservation has become a concern. So, there has been a move towards more conservative approaches for the treatment of cervical carcinoma in recent years. Radical trachelectomy, which allows preservation of uterus but removes the cervix, parametrium and upper one third of the vagina, is a conservative but locally radical procedure. We performed radical abdominal trachelectomy with pelvic lymphadenectomy for two cases of invasive cervical carcinomas, which may be the first report in korea. One patient was 37 years old single women who had stage Ib cervical cancer and was disease free for 17 months after treatment. The other patient was 19 years old student who was also single and had stage IIa cervical cancer and was disease free for 14 months after treatment. We report the first two cases and review the literature on radical trachelectomy.
Adult
;
Cervix Uteri
;
Female
;
Fertility
;
Fertility Preservation
;
Humans
;
Hysterectomy
;
Korea
;
Lymph Node Excision*
;
Uterine Cervical Neoplasms
;
Uterus
;
Vagina
;
Young Adult
9.A case of Colorectal carcinoma During Pregnancy.
Mi Yeong JO ; Ki Hong CHANG ; Haeng Soo KIM ; Kie Suk OH
Korean Journal of Obstetrics and Gynecology 2000;43(5):901-904
Colorectal cancer during pregnancy is rare but the trend for women to delay pregnancy until later in life may result in increased incidence of colorectal cancer during pregnancy. The most common symptoms are rectal bleeding, abdominal discomfort, abdominal distension, anorexia, nausea, vomiting, constipation, anemia and weight loss. Rectal bleeding, if it is occurred, is often attributed to hemorrhoids, a common finding of pregnancy and many of these symptoms are commonplace in normal pregnancy. This delays diagnosis of colorectal cancer during pregnancy and leads to more advanced stage and poor prognosis compared to the general population. We experienced a woman at 27 weeks gestation who complained of low abdominal distention and was diagnosed of sigmoid colon cancer and underwent cesarean section and hemicolectomy at 30 weeks gestation, so we present it with brief review of literature."
Anemia
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Anorexia
;
Cesarean Section
;
Colorectal Neoplasms*
;
Constipation
;
Diagnosis
;
Female
;
Hemorrhage
;
Hemorrhoids
;
Humans
;
Incidence
;
Nausea
;
Pregnancy*
;
Prognosis
;
Sigmoid Neoplasms
;
Vomiting
;
Weight Loss
10.A Case of Cervical Pregnancy Treated with Intramuscular Methotrexate Injection.
Tae Yeop LEE ; Du Sik KONG ; Doo Jin BAE ; Sun Do HONG ; Yun Jung PARK ; Young Wook SUH
Korean Journal of Obstetrics and Gynecology 2000;43(5):897-900
Cervical pregnancy is a rare form of ectopic gestation in which the blastocyst implants in the cervical mucosa below the histologic cervical os. Because of the serious vaginal bleeding, hysterectomy was usually done in the management of cervical pregnancy. Howerver, conservative treatment is desirable for women who want to be pregnancy in the future. Methotrexate has been utilized recently for conservative management of cervical pregnancy. We report a case of cervical pregnancy which was treated succesfully with intramuscular methotrexate injection.
Blastocyst
;
Female
;
Humans
;
Hysterectomy
;
Methotrexate*
;
Mucous Membrane
;
Pregnancy*
;
Uterine Hemorrhage