2.A Case of Adenocarcinoma arising from a Mature Cystic Teratoma of the Ovary.
Leek Bum CHON ; Chan LEE ; Yong Hun CHEE ; Kye Won KWON ; Hee Jung AHN ; Jung Soo KIM
Korean Journal of Obstetrics and Gynecology 1997;40(10):2362-2366
Malignant transformation of mature cystic teratoma is a rare complication. Most com-mon malignant transformation of mature cystic teratoma is squamous cell carcinoma, which represents about 75 to 80% followed by adenocarcinoma in 6 to 7%. It is generally consi-dered that prognosis is extremely poor in case of adenocarcinoma associated with cystic te-ratoma. In this paper, we describe an adenocarcinoma arising from a mature cystic teratoma of left ovary in 47 year old woman. Left ovary was measured 18x15x7cm, 1,295gm in size. Uterus and right ovary were normal appearance. Left ovarian cyst was adhered to omentum and peritoneum. But neither rupture of cyst nor ascites were found at laparotomy. A brief review of concerned literatures was presented.
Adenocarcinoma*
;
Ascites
;
Carcinoma, Squamous Cell
;
Female
;
Humans
;
Laparotomy
;
Middle Aged
;
Omentum
;
Ovarian Cysts
;
Ovary*
;
Peritoneum
;
Prognosis
;
Rupture
;
Teratoma*
;
Uterus
3.A clinical study of 39 cases of malignant germ cell tumors of the ovary.
Ji Yang PARK ; Eun Hee LEE ; Young Oak LEW ; Yong Hun CHEE ; Do Kang KIM ; Dae Hoon KIM ; Sung Eun NAMGOONG ; Hun Young LEE
Korean Journal of Obstetrics and Gynecology 1993;36(7):2978-2985
No abstract available.
Female
;
Germ Cells*
;
Neoplasms, Germ Cell and Embryonal*
;
Ovary*
4.Effects of gonadotropin-releasing hormone and gonadal steroids on various hormones secretion in trophoblast cells.
Yong Hun CHEE ; Jin Woo KIM ; Gu Taek HAN ; Jae Keun JUNG ; Dae Hoon KIM ; Sung Eun NAMKOONG ; Seung Jo KIM ; Hun Young LEE
Korean Journal of Obstetrics and Gynecology 1992;35(12):1768-1778
No abstract available.
Gonadotropin-Releasing Hormone*
;
Gonads*
;
Steroids*
;
Trophoblasts*
5.A Case of Management of maternal Vegetative State during Pregnancy.
Ji Yeon CHO ; Yeo Hong YUN ; Sae Min CHUNG ; Sang Yong SEO ; Yong Hun CHEE
Korean Journal of Obstetrics and Gynecology 2001;44(2):393-395
In the management of the traumatized gravid and her fetus, diagnostic tests and therapy should be directed primarily at the care of the mother and should not be delayed or compromised because of the pregnancy. Because many factors can damage when the mother is unconscious, fetal well-being should be assessed by serial biophysical profile scoring. If the mother's condition is stable as in the chronic vegetative state, elective delivery might best be performed at a gestational age of 32 to 34 weeks.
Diagnostic Tests, Routine
;
Fetus
;
Gestational Age
;
Humans
;
Mothers
;
Persistent Vegetative State*
;
Pregnancy*
6.Utility of Colposcopy and Human Papillomavirus (HPV) Test in the Diagnosis of Uterine Cervical Lesions.
Chan Joo KIM ; Jong Sup PARK ; Keun Woo LEE ; Guisera LEE ; Yong Hun CHEE ; Dae Hoon KIM ; Sung Eun NAMKOONG ; Seung Joo KIM
Korean Journal of Gynecologic Oncology and Colposcopy 1994;5(2):36-48
Specific types of HPV are currently implicated as etiologic agents of precuraors and cancerous lesions of the uterine cervix. This study used the data gained from one hundred twenty five wmen who underwent cnnrrent. Papanicoiaou smear, colposcopic diagnosis, and cervicovaginal lavage for HPV BNA test at Dysplasia Clinic in Kangnam St. Mary's Hospital. 38 patients had low-grade squemous intraepithelial lesiona (LGSILs) and 34 had high grade squamoua intrepithelial lesions (HGGILs), 24 invasive cervical cancers, and 29 normal control. Comlposcopic feeturee were prpectiively recorded by Reids colposcopic index and t,hen correlated with histapathologic diagnoeis. Using the colposcopic index, 86.4% was eorrelated with histapathologic findings. DNAs extracted from the cervicovaginal lavages were analyzed by polymerase chain reaction (PCR) using the HPV L1 consensus primers. HPV DNA was detected in 79 of 125 women (63.2%). Prevalences of HPV DNA in the patients with LGSIL (71.1%), HGSIL, (76.5%i) and cervix caneer (75.0%) showed no difference in statistics. Low-risk oncogenic viruses.(HPV-6/11) were present in 13.2% of patients with LGSIL, but none was detect,ed in thoee with HCSIL and cervix cancer. Intermediate-riak oncogenic viruses (HPV-31/33/35) were deterted in 5.3% of patients with LGSIL 8.8% in HGSIL, and none in cervix cancer. Prevalence of high-rsk onccgenie type HPV 16/18 was higher in HGSIL (41.2%) and invnsive cervical cancer (45.8%) than those of LGSII (15.8%) and cnntrols (3.5 %) (P = 0.0001). These data indicate that colposcnpic scoring has adjunctive diagnostic rale in predict,ing his-tology. And, HPV DNAs were found in similar incidence in the various histologic grades of cervical neoplasia. HPV-6/11 were detec only in LGSIL and HPV 31/33/35 in LGSIL and HGSIL, but not in invasive canser. HPV-16/18 were the predominant viruses which were detected in HGSIL, and invasive aervi 1 cancer. In canch.isizn, a combination of HPV testing and colposcopic scoring would provide sensitive screening methade for cervial cencer and pr nceraus lesions. And HFV typing might have prognmtic value in the management of patients with HPV related cervical neoplastic lesions.
Cervix Uteri
;
Colposcopy*
;
Consensus
;
Diagnosis*
;
DNA
;
Female
;
Humans*
;
Incidence
;
Mass Screening
;
Oncogenic Viruses
;
Polymerase Chain Reaction
;
Prevalence
;
Respiratory Sounds
;
Therapeutic Irrigation
;
Uterine Cervical Neoplasms
7.4 Cases of Pelvic Actinomycoses.
Jeong Su KIM ; Chang Cho CHUNG ; Yong Hun CHEE ; Myung Choel SHIN ; Mi Hwa LEE ; Kyeong Sul LEE ; Jong Gun WON ; Dong Je CHO
Korean Journal of Obstetrics and Gynecology 1997;40(8):1763-1770
Actinomycoces is a gram positive, anaerobic, branching and non-acid fast bacterium which is a normal habitant of the skin, oral cavity, tonsil and gastrointestinal tract and its human infection is rare. Pelvic actinomycoses is frequently caused by Actinomycoces israel-ii. It is chronic, progressive, and more suppurative than granulomatous disease, and the symptoms are usually persistent and gradual, therefore the misdiagnosis and improper trea-tment are not uncommon. Actinomycoses is generally classified as cervicofacial, abdominal and thoracic type ac- cording to the site of the primary infection. Many actinomycotic pelvic infections in women used intrauterine device with long du- ration were reported, in contrast, others suggest that actinomycoces developed opportunistic infection irrespective of intrauterine device presence. We have experienced 4 cases of pelvic actinomycoses, one case with IUD(Lippes' loop) in a 47 year old woman, the other case with abdominal wall ctinomycoses in a 34 year old woman, the third case without IUD in a 41 year old woman, the fourth case with IUD(Cu-7) in a 37 year old woman and reported them with a review of literature.
Abdominal Wall
;
Actinomycosis*
;
Adult
;
Diagnostic Errors
;
Female
;
Gastrointestinal Tract
;
Humans
;
Intrauterine Devices
;
Middle Aged
;
Mouth
;
Opportunistic Infections
;
Palatine Tonsil
;
Pelvic Infection
;
Skin
8.A Case of Incomplete Femoral Nerve Neuropathy after Total Abdominal Hystrectomy.
Sae Min CHUNG ; Yun Jin MOON ; Seung Geun PARK ; Hye Young PARK ; Ji Yeon CHO ; Yeo Hong YUN ; Yong Hun CHEE
Korean Journal of Obstetrics and Gynecology 2003;46(7):1466-1468
Total abdominal hystrectomy is the most common surgery of Gynecology. It's complication are taken very important. Although neuropathy, especially femoral nerve injury, is rare, recently we have experienced a case of femoral neuropathy after total abdominal hystrectomy. We present this case with a brief review of literature.
Femoral Nerve*
;
Femoral Neuropathy
;
Gynecology
9.Airway dimensions and margin of safety with the left-sided double-lumen tube in patients of a short stature.
Wonjin LEE ; Ji Yong LEE ; Deul Nyuck CHOI ; Chee Mahn SHIN ; Kwangrae CHO ; Myoung Hun KIM ; Jeong Han LEE ; Se Hun LIM ; Kun Moo LEE
Anesthesia and Pain Medicine 2015;10(2):110-117
BACKGROUND: The size and depth of the double-lumen tube (DLT) are important for one-lung ventilation (OLV). In patients of a short stature, it is difficult to perform OLV successfully. We designed this study to evaluate the dimensions and margin of safety of the left main bronchi in patients of a short stature for appropriate OLV. METHODS: Chest computed tomography (CT) scans of 241 patients (22 male, 219 female) of a short stature (height below 155 cm) were analyzed retrospectively. The diameters of the trachea (DT), the right and left main bronchi (DR and DL), and the lengths of the right and left main bronchi (LR and LL) were measured at the coronal section of the chest CT scans using a picture archiving communication system program. RESULTS: There were no significant correlations between the heights and lengths of the right and left main bronchi. In addition, the ages and weights of the patients showed no significant correlations with the airway dimensions. The lengths of the bronchial lumen of the left-sided Mallinckrodt DLT show variations of 3 to 5.5 mm with tubes of identical sizes. The margin of safety is 13.8 +/- 4.1 mm assuming that appropriately sized DLTs are inserted. CONCLUSIONS: For successful and safe OLV in patients of a short stature, anesthesiologists should consider the length of the main bronchus and the actual length of the bronchial lumen of the DLT.
Body Height
;
Bronchi
;
Humans
;
Male
;
One-Lung Ventilation
;
Retrospective Studies
;
Thorax
;
Tomography, X-Ray Computed
;
Trachea
;
Weights and Measures
10.Incidental Carcinoid of Appendix in Borderline Mucinous Ovarian Tumor.
Yun Jin MOON ; Sae Min CHUNG ; Seung Geun PARK ; Min Jeong KIM ; So Ya PAIK ; Hye Young PARK ; Jun Seong KO ; Yeo Hong YUN ; Yong Hun CHEE
Korean Journal of Obstetrics and Gynecology 2004;47(3):551-554
A case with carcinoid tumor of the appendix was encountered incidentally during an elective abdominal surgery for borderline mucinous ovarian tumor in a 16-year old female. Carcinoid tumor of appendix is the most common neoplasm of the gastrointestinal tract in childhood and adolesence. They are usually regarded as a benign neoplasm and an uncommon source of metastasis and recurrence. We report this case with reference to the value of grosss examination of the appendix and incidental appendectomy during gynecologic abdominal operations.
Adolescent
;
Appendectomy
;
Appendix*
;
Carcinoid Tumor*
;
Female
;
Gastrointestinal Tract
;
Humans
;
Mucins*
;
Neoplasm Metastasis
;
Recurrence