Changes in lipid peroxidation and protein oxidation by antibiotic therapy in the maternal venous plasma of preterm premature rupture of membranes / 대한산부인과학회지

OBJECTIVE: To investigate and compare the amount of the lipid peroxidation and the protein carbonyls formation in maternal venous plasma of preterm premature rupture of membranes (PPROM) during antibiotics administration. METHODS: PPROM were selected between 25 and 32 weeks of gestation. Eighteen patients (group 1) were treated with amoxicillin and erythromycin for 7 day period, 18 patients (group 2) were treated with 3rd generation cephalosporin (cefodizime, cefditoren) and erythromycin for the same period. Maternal blood were obtained from the two groups before and after the antibiotics administration, day 3 and day 7. Lipid peroxidation levels and protein carbonyl contents were measured by thiobarbituric acid reaction and 2,4-dinitrophenyl hydrazine method. Other 18 women with normal pregnancy between 25 and 32 weeks of gestation of venous blood were checked same things in vitro. Interleukin (IL) -6 was measured by enzyme-linked immunosorbent assay. RESULTS: 1. The lipid peroxidation levels and protein carbonyls formation in the maternal venous plasma of PPROM was significantly higher than that of normal pregnancy (lipid peroxidation levels; 4.77+/-.36 vs 7.11+/-.41 nmol/mg protein, P<001, protein carbonyls formation; 3.55+/-.22 vs 5.69+/-.30 nmol/mg protein, P<001). 2. There were no significant differences in the lipid peroxidation levels and protein carbonyls formation of the maternal venous plasma with PPROM mixed and incubated by amoxicillin, cefodizime, cefditoren, and erythromycin (in vitro). 3. There were no significant differences in the lipid peroxidation levels and protein carbonyls formation of the venous plasma of group 1 between before and after antibiotics administration, day 3 and day 7. 4. There were no significant differences in the lipid peroxide levels of the venous plasma of group 2 between before and after antibiotics administration, day 3 and day 7. 5. The protein carbonyls formation in the venous plasma of group 2 was significantly decreased at day 3 and day 7 after antibiotics administration than that of before (6.04+/-.44 and 5.53+/-.37 vs. 7.04+/-.51 nmol/mg protein, P<005). 6. The levels of IL-6 in the venous plasma of group 2 was significantly decreased at day 7 after antibiotics administration than that of before (7.50+/-.35 vs. 3.13+/-.37 pg/mL, P<005). CONCLUSION: In the maternal venous plasma of PPROM, the lipid peroxidation levels and protein carbonyls formation were increased. The formation of protein carbonyls and IL-6 in the maternal blood of PPROM was decreased by combined treatment of 3rd generation cephalosporin and erythromycin. The results suggest that reactive oxygen species formation by inflammatory reaction is suppressed by the 3rd generation cephalosporins and erythromycin combined treatment.

A Case of Fetal Congenital Mesoblastic Nephroma with Oligohydramnios

Although congenital renal tumors are rare, congenital mesoblastic nephroma (CMN) is the most common renal tumor in early infancy. It is non-metastatic, well differentiated, amenable to surgical removal, and carries a good prognosis. Polyhydramnios has been detected in most of the published cases of CMN. However, we experienced a rare case of fetal CMN associated with oligohydramnios. A 28-yr old woman at 34 weeks of gestation was referred to our hospital for oligohydramnios and a fetal abdominal mass. An ultrasonography revealed a huge, well-encapsulated mass arising from the right kidney. An emergency cesarean section was performed due to fetal distress. After birth, despite intensive neonatal care, the baby died because of renal failure, disseminated intravascular coagulopathy, pulmonary edema, together with other problems.

The availability of ultrasonography as the method for early detection of fetal chromosomal abnormalities / 대한산부인과학회지

OBJECTIVE: For the early detection of fetal chromosomal abnormalities in highpregnancy, most obstetricians have performed the prenatal fetal ultrasonogram as an obstetrical diagnostic tool. METHODS: Fetal ultrasonogram and fetal chromosomal analysis were carried out to 68 patients, from Jan. 1996 to July 2004. RESULTS: 1. The causes of patients visited the hospital were as follows; 39.5% (27/68) of them had abnormal results of Triple test, 32.1% (20/68) abnormal fetal ultrasonographic findings, 9.2% (7/68) old maternal age, 4.3% (3/68) previous fetal anomaly, 2.8% (2/68) abnormality in amniotic fluid, 2.8% (2/68) intrauterine growth restriction and 9.2% (7/68) others reasons. 2. The prevalence of abnormal fetal ultrasonographic findings was 48.5% (33/68). Several fetuses were presented the combination of anomaly. 3. The average gestational age for the fetal chromosomal analysis was 19.9+/-6.8 weeks, and the methods for the analysis were amniocentesis 80.9% (55/68), cordocentesis 8.8% (6/68), chorionic villi sampling 4.4% (3/68), and others 5.9% (4/68). 4. The results of the fetal chromosomal analysis showed numerical aberration 61.7% (42/68). structural aberration 36.8% (25/68) and Mosaicism 1.5% (1/68). CONCLUSION: The Fetal ultrasound examinations are useful for the early and accurate detection of fetal chromosomal abnormalities. Especially, when fetuses show anomalies in hears and central nervous systems, fetal chromosomal analysis should be done.

Struma Ovarii Showing the Clinical Characteristics of the Malignancy / 대한산부인과학회잡지

Struma ovarii is a rare form of ovarian neoplasm, composed entirely or predominantly of thyroid tissue and generally a benign germ cell tumor of the ovary. The tumor usually present with findings of an asymptomatic mature mass. Despite containing thyroid tissue, only 5% of struma ovarii have features of hyperthyroidism. Ascites have been reported in approximately 15-20% of all cases. The combination of struma ovarii and elevated CA125 has rarely been reported. We experienced an case of benign struma ovarii showing the clinical characteristics such as massive ascites, high serum CA125 level and a complex pelvic mass strongly suggestive of the malignancy. So, we report this case with a brief review of literature.

Clinical Significance of Multiple Serum Tumor Markers in the Detection of Ovarian Carcinoma / 대한산부인과학회잡지

OBJECTIVE: This study evaluated the possible role of 2 additional tumor markers to CA125 in discriminating between benign and malignant ovarian tumors. METHODS: Serum samples from 1,346 patients were obtained on seven days before operation. All patients underwent surgery for ovarian tumors. Serum levels of 3 tumor markers were compared to histology. Concentrations of tumor markers (CA125, CA72-4, CA19-9) were detected by enzyme immuno- or immunoradiometric assays. Normal range of these markers was defined as CA125