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대한산부인과학회> Journal of women's medicine

Journal of women's medicine

  • : 대한산부인과학회
  • : 의약학분야  >  산부인과학
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  • : 연속간행물
  • : 계간
  • : 2005-0321
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수록정보
수록범위 : 1권1호(2008)~4권2호(2011) |수록논문 수 : 116
Journal of women's medicine
4권2호(2011년 06월) 수록논문
최근 권호 논문
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1Original Articles : Pregnancy outcomes and relationship between maternal weight gain and fetal birth weight in Korean pregnant women at risk for gestational diabetes

저자 : Seo Young Lee , Junguk Hur , Kyung Ju Lee

발행기관 : 대한산부인과학회 간행물 : Journal of women's medicine 4권 2호 발행 연도 : 2011 페이지 : pp. 35-40 (6 pages)

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Objective: We evaluated pregnancy outcomes in women at risk for gestational diabetes and examined associations of maternal weight gain and fetal birth weight.Methods: A retrospective analysis of 667 women who gave a full term singleton birth and had a blood glucose level ≥140mg/dL on a 50 g glucose challenge test between July 1, 2007 and December 31, 2008 at CHA University (CHA Gangnam Medical Center, Korea). Based on the results of 3-hour glucose tolerance test (OGTT), women were divided into three groups: normal glucose tolerance (no high value), impaired glucose tolerance (1 high value), and gestational diabetes (GDM: ≥2 high value). Maternal characteristics and pregnancy outcomes were compared among the three groups. Results: The women with more positve values on OGTT showed significantly older age and more family diabetes history and past GDM history, and higher pre-pregnant body mass index and obesity. However, total weight gain during pregnancy was inversely correlated with the OGTT values. The primary cesarean section rate and fetal birth weight were slightly higher in GDM group without significance. Macrosomia tended to be more frequent in GDM group than other group (odds ratio, 2.28; 95% confidence interval, 1.05-4.97; P=0.052). Maternal weight gain was positively correlated with fetal birth weight in all groups(r=0.175, P=0.000). Conclusion: Higher numbers of positive OGTT are associated with more risk factors such as age, obesity and show a tendency to have a macrosomic fetus. Associated with maternal diabetic risk, maternal weight gain may be an affecting factor for fetal birth weight.

2Original Articles : Sentinel node detection in early stage cervical cancer

저자 : Chae Chun Rhim , Sung Joo Kim , Young Han Park , Jung Bae Kang , Pong Rheem Jang

발행기관 : 대한산부인과학회 간행물 : Journal of women's medicine 4권 2호 발행 연도 : 2011 페이지 : pp. 41-44 (4 pages)

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Objective: To investigate the feasibility of sentinel node frozen biopsy to minimize the extensive pelvic lymph nodes dissection in early stage cervical cancer patients on the basis that the risk of skip metastasis to the paraaortic area is negligible. Methods: The 45 patients with early stage cervical cancer were enrolled in this study. Technetium-99 m colloid albumin was injected intradermally around the tumor for allowing preoperative lymphoscintigraphy and intraoperative hand-held gamma probe detection of seninel lymph nodes. For visual detection, isosulfan blue dye was injected into the peritumoral sites before peritoneal opening. Postoperative morbidity and negative predictive value were the endpoints of this study. Results: The 45 patients, ranging in age from 32 to 71 year, underwent intraoperative sentinel nodes mapping. There were 33 benign and 12 malignant cases on frozen biopsy. On permanent histopathological specimen, there were 31 benign and 14 malignant cases. In 31 out of 33 cases determined to be benign on the sentinel node frozen biopsy, there were no pelvic lymph node metastasis on the permanent pathology. In only 2 cases found to be benign on the sentinel node frozen biopsy, there were pelvic lymph node metastasis on the permanent histopathology. These results are statistically significant(P<0.0001).Conclusion: This new technique of sentinel node mapping is safe and simple to perform. Further clinical trials using the combination of Technetium-99 m and isosulfan blue dye are warranted and this technique will make a true advance for lessaggressive management of patients with early stage cervical cancer.

3Original Articles : Factors predicting failure after the tension-free vaginal tape obturator procedure for stress urinary incontinence

저자 : Jeong Min Moon , Myung Jae Jeon , Jae Hong No , Yong Tark Jeon , Byung Chul Jee , Chang Suk Suh , Yong Beom Kim

발행기관 : 대한산부인과학회 간행물 : Journal of women's medicine 4권 2호 발행 연도 : 2011 페이지 : pp. 45-50 (6 pages)

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Objective: The present study evaluated clinical factors associated with failure following use of the tension-free vaginal tape obturator (TVT-O) procedure for stress urinary incontinence (SUI). Methods: The retrospective study involved 141 patients who underwent surgery for urodynamic stress incontinence between January 2004 and December 2008 with follow-ups for at least 1 year postoperatively. Medical records were reviewed to obtain clinical characteristics and surgical outcomes. Failure was defined as a subjective complaint of leakage at 1-year after surgery.Results: The TVT-O success rate was 92.9%. The success and failure groups were found to be similar in terms of demographic and clinical characteristics. Preoperative urodynamic study showed that the only factor associated with failure was a preoperative abdominal leak point pressure (ALPP) <60 cm H2O (odds ratio, 5.14; P=0.035). Conclusion: The present study found that an ALPP<60 cm H2O was independently predictive of failure in SUI patients undergoing the TVT-O procedure.

4Case Reports : Intramural Leiomyoma during pregnancy becoming delivered postpartally

저자 : Sun Joo Choi , Yoon Ha Kim , Jong Woon Kim , Hye Yon Cho , Tae Bok Song

발행기관 : 대한산부인과학회 간행물 : Journal of women's medicine 4권 2호 발행 연도 : 2011 페이지 : pp. 51-52 (2 pages)

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Uterine myoma is very common finding in women of reproductive age, and their natural history during pregnancy has been reported. This case report describes a unique postpartum natural history not previously reported. A 33-year-old, multiparous woman at the 36 weeks` of pregnancy visited to the out patient department. ltrasonic evaluation revealed an 11×10 cm sized intramural myoma in anterior and left lateral wall of uterus. Spontaneous vaginal delivery was done at the 40 weeks` of pregnancy. Postpartal examination and sonogram was on 6th week from the delivery revealed 7cm sized intramural myoma being delivered from the cervix. Transvaginal myomectomy was perfomed and diagnosis was histologically comfirmed. Myoma in pregnancy may changes size, shape, location postpartally. Proper management shoud be done according to the changes.

5Case Reports : Vaginal delivery in a spontaneously conceived singleton pregnancy complicated with hyperreactio Luteinalis: A case report

저자 : Ah Ra Cho , Tae Bok Song , Hyun Jung Kim , Yoon Ha Kim , Jong Woon Kim

발행기관 : 대한산부인과학회 간행물 : Journal of women's medicine 4권 2호 발행 연도 : 2011 페이지 : pp. 53-56 (4 pages)

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Hyperreactio luteinalis (HL) is characterized by bilaterally marked cystic enlargement of the ovaries containing multiple benign theca lutein cysts. HL is rarely observed during a spontaneously conceived normal singleton pregnancy. We present a case of a 29-year-old woman who was initially detected with markedly enlarged multicystic ovaries in the 9 weeks of a spontaneously conceived pregnancy. Ultrasonographic follow-up of the ovaries were done in order to avoid unnecessary exploratory laparotomy during pregnancy. At 40 weeks of gestation, a healthy female infant weighing 2,910 g was delivered vaginally. Since normal spontaneous remission occurs after delivery or during pregnancy in many cases, conservative management is appropriate rather than performing unnecessary intervention. We hereby report a rare case of HL managed non-surgically resulting in successful vaginal delivery.

6Case Reports : Primary fallopian tube carcinoma co-existing with pregnancy: A case report

저자 : Agnes P. Montero Fenix , Nephtali N. Gorgonio

발행기관 : 대한산부인과학회 간행물 : Journal of women's medicine 4권 2호 발행 연도 : 2011 페이지 : pp. 57-61 (5 pages)

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Primary fallopian tube carcinoma is the rarest of all gynecologic cancers and usually occurs in postmenopausal women. Thus, its presence in pregnancy is extremely remote. A 31-year-old term primigravid with a history of right lower quadrant pain, diagnosed with dermoid focus on imaging was admitted due to ruptured membranes and delivered a live and healthy infant. Intraoperatively, the right fimbria was dilated and fimbriectomy was performed which revealed papillary serous cyst adenocarcinoma. There was no residual disease on re-exploration. She was classified as International Federation of Gynecologists and Obstetricians stage IA. No adjuvant chemotherapy was given. The incidence of primary fallopian tube carcinoma co-existing with pregnancy is extremely low. This article review is possibly the first reported case of primary fallopian tube carcinoma co-existing with pregnancy, locally.

7Case Reports : A case of isolated peritoneal metastasis in clinically early stage squamous cell carcinoma of the uterine cervix

저자 : Bo Hyon Yun , Ji Heum Paek , Eun Ji Nam , Young Tae Kim , Sang Wun Kim

발행기관 : 대한산부인과학회 간행물 : Journal of women's medicine 4권 2호 발행 연도 : 2011 페이지 : pp. 62-65 (4 pages)

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Cervix cancer had been the most common gynecologic cancer for decades. Although early diagnosis and treatment have been developed, cervix cancer is the fourth leading cause of cancer death in women worldwide. Unlike other gynecologic cancers, cervical cancer is defined and classified by a clinical staging system. Because this system is based on the spreading pathway in which cancer cell prefers to spread directly to adjacent organs, it is very rare to see distant metastasis of early stage cervical cancer. Herein, we report a case with clinically early stage squamous cell carcinoma of uterine cervix, which showed isolated peritoneal metastasis, and review the relevant literature.

8Case Reports : Single-port access Laparoscopic ovarian transposition and cryopreservation of ovarian tissue before chemo-radiotherapy in a young woman with rectal cancer

저자 : Young Ho Roh , Ji Heum Paek , Young Sik Choi , Ji Ann Jung , Sang Wun Kim

발행기관 : 대한산부인과학회 간행물 : Journal of women's medicine 4권 2호 발행 연도 : 2011 페이지 : pp. 66-70 (5 pages)

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To introduce the first case of single-port access (SPA) laparoscopic ovarian transposition (LOT) and cryopreservation of ovarian tissue before chemo-radiotherapy in a young woman with rectal cancer. We report our experience of SPA-LOT and cryopreservation of ovarian tissue with only minimal skin incision. Patient successfully underwent SPA-LOT and cryopreservation of ovarian tissue before chemo-radiotherapy in a reasonable time without operative complication in order to relocate their ovaries outside the radiation field. A concomitant ovarian wedge resection was performed for ovarian cryopreservation. After surgery and chemo-radiotherapy, she continued to have regular menstrual cycles. For a preservation of ovarian function, SPA-LOT and cryopreservation of ovarian tissue before chemo-radiotherapy is feasible with only minimalskin incision.

9Case Reports : Pelvic Lymph node metastasis in microinvasive adenocarcinoma of cervix

저자 : Kyung Hee Lee , Sung Joo Kim , Young Han Park , Chae Chun Rhim

발행기관 : 대한산부인과학회 간행물 : Journal of women's medicine 4권 2호 발행 연도 : 2011 페이지 : pp. 71-74 (4 pages)

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Microinvasion of cervical cancer was defined according to the International Federation of Gynecologists and Obstetricians classification as a depth of invasion of no greater than 3 mm and a horizontal dimension of no greater than 7 mm. Although the status of the lymph nodes is not included in the staging of cervical cancer, the presence or absence of lymph node metastasis provides important prognostic information and influences decision-making for treatment. For patient with stage IA1 microinvasive squamous cell carcinoma, the incidence of lymph node involvement is estimated to be 1%, but very little is known about lymph node metastasis in microinvasive adenocarcinoma of cervical cancer. We have experienced a case of pelvic lymph node metastasis in microinvasive adenocarcinoma of cervix with a depth of invasion of 3 mm or less, with no lymphovascular invasion. So, we report the case with brief review of literatures.

10Case Reports : A case of unclassified type, borderline sex cord-stromal cell tumor arising in ectopic ovarian tissue

저자 : Ah Ra Kim , Sang Min Park , Seong Jin Cho , Jae Yoon Ro , Yong Il Kwon

발행기관 : 대한산부인과학회 간행물 : Journal of women's medicine 4권 2호 발행 연도 : 2011 페이지 : pp. 75-78 (4 pages)

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Sex cord-stromal cell tumors of ovary is derived from the coelomic epithelium or mesenchymal cells of the embryonic gonads and unclassified type of them consists of 0.5-0.8% of all malignant ovarian tumors. Histologic findings and management of a 37-year-old woman with sex cord-stromal tumor, unclassified type, were described. We ruled out soft tissue tumors that usually originate from the retroperitoneum, and with immunohistochemical staining, this tumor was diagnosed as a retroperitoneal unclassified borderline sex cord-stromal cell tumor. She had a normal postoperative course, and was discharged 14 days postoperatively. Unclassified sex cord-stromal cell tumor of ovary is rare and should be discriminated between other tumors, such as primitive mesenchymal tumor and metastatic endometrial cancer.

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