1.Omental Incarceration over Twenty Years Presenting as a Hyperechoic Endometrial Mass in a Postmenopausal Woman
Gina NAM ; Sa Ra LEE ; Yu Ra KO ; Gwang Jun KIM
Journal of Menopausal Medicine 2021;27(1):46-48
Uterine perforation related with dilatation and curettage (D&C) is an uncommon event. Combined complications such as hemorrhage, adjacent organ injury, and omental incarceration may require an emergent surgical treatment. These are usually evident immediately or several days after the D&C, and a delayed presentation of uterine perforation are extremely rare. Herein, we report a rare case of omental incarceration presenting as a hyperechoic endometrial mass in a postmenopausal woman, diagnosed twenty-three years after the D&C. According to this case, when we encounter a hyperechoic endometrial lesion penetrating the uterine wall in women with a history of an intrauterine procedure such as D&C, we need to consider the possibility of an incarcerated omentum.
2.Omental Incarceration over Twenty Years Presenting as a Hyperechoic Endometrial Mass in a Postmenopausal Woman
Gina NAM ; Sa Ra LEE ; Yu Ra KO ; Gwang Jun KIM
Journal of Menopausal Medicine 2021;27(1):46-48
Uterine perforation related with dilatation and curettage (D&C) is an uncommon event. Combined complications such as hemorrhage, adjacent organ injury, and omental incarceration may require an emergent surgical treatment. These are usually evident immediately or several days after the D&C, and a delayed presentation of uterine perforation are extremely rare. Herein, we report a rare case of omental incarceration presenting as a hyperechoic endometrial mass in a postmenopausal woman, diagnosed twenty-three years after the D&C. According to this case, when we encounter a hyperechoic endometrial lesion penetrating the uterine wall in women with a history of an intrauterine procedure such as D&C, we need to consider the possibility of an incarcerated omentum.
3.Genotype of Toxoplasma gondii from Blood of Stray Cats in Gyeonggi-do, Korea.
Hye Youn KIM ; Yun Ah KIM ; Ho Sa LEE ; Ho Gun RHIE ; Shin Hyeong CHO ; Jae Ran YU ; Sang Eun LEE
The Korean Journal of Parasitology 2009;47(4):413-415
Genotyping of Toxoplasma gondii has been performed in 23 PCR positive blood samples from stray cats in Korea. We used 2 separate PCR-restriction fragment length polymorphism (RFLP) patterns of SAG2 gene, amplifying the 5'and 3'ends of the locus. The results revealed that all samples belonged to the type I clonal lineage. Although T. gondii organisms were not isolated from the samples, the results of the present study represent that stray cats with T. gondii infection should be seriously concerned in our environment. Adequate and continuous control programs of stray cats are needed to reduce the risk of transmission of T. gondii as a zoonotic infection threatening the public health.
Animals
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Antigens, Protozoan/genetics
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Blood/*parasitology
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Cat Diseases/*parasitology
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Cats
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Cluster Analysis
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DNA Fingerprinting/methods
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DNA, Protozoan/genetics/isolation & purification
;
Genotype
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Korea
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Polymerase Chain Reaction/methods
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Polymorphism, Restriction Fragment Length
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Protozoan Proteins/genetics
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Toxoplasma/*classification/*genetics/isolation & purification
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Toxoplasmosis, Animal/*parasitology
4.Prognostic Significance of Immunohistochemical Expression of p53 Gene Product in Operable Breast Cancer.
Hong Suk SONG ; Young Rok DO ; Sun Hee KANG ; Ki Yong JEONG ; Yu Sa KIM
Cancer Research and Treatment 2006;38(4):218-223
PURPOSE: The aim of this study was to investigate the prognostic significance of the expression of p53 gene product in operable invasive breast cancer by performing immunohistochemical analysis. MATERIALS AND METHODS: Between January 1993 and December 2001, 440 operable invasive breast cancer patients underwent immunohistochemical staining for p53, and we retrospectively analyzed these results together with the clinical outcomes. RESULTS: The overexpression of p53 was detected in 51.6% of the cases. The overexpression of p53 was inversely correlated with lymph node metastasis (p=0.005). The tumor size, tumor histology, histologic grade, hormonal receptor status and tumor stage were not related to the overexpression of p53. Multivariate Cox regression analysis indicate that lymph node metastasis, tumor size and the p53 expression were the significant prognostic factors for overall survival; lymph node metastasis, the estrogen receptor status and the p53 expression were the significant prognostic factors for relapse free survival. On the subgroup analysis, the p53 non-expressors showed better 7-year overall survival (92.7% vs. 76.7%, respectively, p=0.011) and relapse free survival (74.9% vs. 57.8%, respectively, p=0.032) than did the p53 overexpressors for the patients with lymph node metastasis. However, for the patients without lymph node metastasis, the survival rates were not different for both the p53 non-expressors and the p53 overexpressors. CONCLUSION: Immunohistochemical staining of the p53 gene product was an independent prognostic factor for predicting survival of the lymph node positive invasive breast cancer patients.
Breast Neoplasms*
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Breast*
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Estrogens
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Genes, p53*
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Humans
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Immunohistochemistry
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Lymph Nodes
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Neoplasm Metastasis
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Prognosis
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Recurrence
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Retrospective Studies
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Survival Rate
5.The Psychiatric and Psychological Characteristics of Cosmetic Surgery Patients and the Effect of Cosmetic Surgery.
Sa Ik BANG ; Hyung Joon KIM ; Young Han SONG ; Gu Hyun MUN ; Tae Seop LEE ; In Won CHUNG ; Sang Ick LEE ; Chul Jun SHIN ; Joo Bong HONG ; Kyung Hwan CHI ; Mi Kyung HAN ; Won Jong LEE ; Jae Ho YU
Journal of the Korean Society of Aesthetic Plastic Surgery 2001;7(1):1-7
No abstract available.
Humans
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Surgery, Plastic*
6.Changes in Korean National Healthcare Insurance Policy and Breast Cancer Surgery Trend in Korea
Musaed RAYZAH ; Jai Min RYU ; Jun-Hee LEE ; Seok Jin NAM ; Seok Won KIM ; Se Kyung LEE ; Jonghan YU ; Kyeong-Tae LEE ; Sa-Ik BANG ; Goo-Hyun MUN ; Jai-Kyong PYON ; Byung-Joon JEON ; Jeong Eon LEE
Journal of Korean Medical Science 2021;36(29):e194-
Background:
Since April 2015, the Korean National Health Insurance (NHI) has reimbursed breast cancer patients, approximately 50% of the cost of the breast reconstruction (BR) procedure. We aimed to investigate NHI reimbursement policy influence on the rate of immediate BR (IBR) following total mastectomy (TM).
Methods:
We retrospectively analyzed breast cancer data between April 2011 and June 2016. We divided patients who underwent IBR following TM for primary breast cancer into “uninsured” and “insured” groups using their NHI statuses at the time of surgery. Univariate analyses determined the insurance influence on the decision to undergo IBR.
Results:
Of 2,897 breast cancer patients, fewer uninsured patients (n = 625) underwent IBR compared with those insured (n = 325) (30.0% vs. 39.8%, P < 0.001). Uninsured patients were younger than those insured (median age [range], 43 [38–48] vs. 45 [40–50] years; P < 0.001).Pathologic breast cancer stage did not differ between the groups (P = 0.383). More insured patients underwent neoadjuvant chemotherapy (P = 0.011), adjuvant radiotherapy (P < 0.001), and IBR with tissue expander insertion (P = 0.005) compared with those uninsured.
Conclusion
IBR rate in patients undergoing TM increased after NHI reimbursement.
7.Changes in Korean National Healthcare Insurance Policy and Breast Cancer Surgery Trend in Korea
Musaed RAYZAH ; Jai Min RYU ; Jun-Hee LEE ; Seok Jin NAM ; Seok Won KIM ; Se Kyung LEE ; Jonghan YU ; Kyeong-Tae LEE ; Sa-Ik BANG ; Goo-Hyun MUN ; Jai-Kyong PYON ; Byung-Joon JEON ; Jeong Eon LEE
Journal of Korean Medical Science 2021;36(29):e194-
Background:
Since April 2015, the Korean National Health Insurance (NHI) has reimbursed breast cancer patients, approximately 50% of the cost of the breast reconstruction (BR) procedure. We aimed to investigate NHI reimbursement policy influence on the rate of immediate BR (IBR) following total mastectomy (TM).
Methods:
We retrospectively analyzed breast cancer data between April 2011 and June 2016. We divided patients who underwent IBR following TM for primary breast cancer into “uninsured” and “insured” groups using their NHI statuses at the time of surgery. Univariate analyses determined the insurance influence on the decision to undergo IBR.
Results:
Of 2,897 breast cancer patients, fewer uninsured patients (n = 625) underwent IBR compared with those insured (n = 325) (30.0% vs. 39.8%, P < 0.001). Uninsured patients were younger than those insured (median age [range], 43 [38–48] vs. 45 [40–50] years; P < 0.001).Pathologic breast cancer stage did not differ between the groups (P = 0.383). More insured patients underwent neoadjuvant chemotherapy (P = 0.011), adjuvant radiotherapy (P < 0.001), and IBR with tissue expander insertion (P = 0.005) compared with those uninsured.
Conclusion
IBR rate in patients undergoing TM increased after NHI reimbursement.