Recurrent aggressive angiomyxoma of vulva: A case report / 대한산부인과학회지

Aggressive angiomyxoma (AAM) is a rare soft tissue tumor composed of scattered spindle cells and abundant vessels embedded in a myxoid matrix. It is a benign slow growing tumor, but locally infiltrative and have a propensity of recurrence. We described the case of a recurrent aggressive angiomyxoma of vulva in a 47-year old female patient. She had a history of vulvar excision at local clinic 2-years ago, and visited our institute with a complaint of pain associated vulvar mass. Wide local excision with postoperative adjuvant GnRH agonist therapy was done according to pathologic report which revealed positive resection margin with estrogen/progesterone receptors positive. She is now free of disease during 15 months of follow up. We report the case with a brief review of the literature.

The efficacy of uterine balloon ablation therapy in patient with menorrhagia / 대한산부인과학회지

OBJECTIVE: Menorrhagia is defined as a complaint of heavy cyclical menstrual bleeding occurring over several consecutive cycles and approximately 30% of women suffer from it. Recently uterine balloon ablation therapy (UBT) system has been used widely as a safe and easy surgical option for this cumbersome symptom. The aims of this study were to determine the safety and the efficacy of UBT system in the management of menorrhagia, and to identify the possible factors for a successful outcome. METHODS: From August 2003 to May 2004, 77 patients with menorrhagia were enrolled. Demographic information, diary score for menorrhagia, and size of uterus were checked before treatment. All patients were treated with UBT system under IV anesthesia at day-surgery unit and followed up post-operatively. The change of diary score, and the change of hemoglobin/hematocrit were recorded. And the change of quality of life was assessed. RESULTS: Medical records of 73 patients who completed scheduled follow up were analyzed. Mean age was 43.7 years old, pre-operative mean diary score was 255.9+/-98.0 and pre-operative mean hemoglobin was 10.67+/-1.67. After the operation, the diary score significantly decreased to 53.3+/-27.5, and the hemoglobin significantly increased to 12.67+/-1.53. Multiple logistic regression analysis showed that success of treatment was influenced by the indication of UBT, patient age, uterine depth, and adequate intra-operative balloon pressure. An improvement in self-reported quality of life scores was also observed. CONCLUSION: The UBT system is a safe and effective method to treat menorrhagia and can be easily done under outpatient basis. Thus, it is a good alternative to hysterectomy or hysteroscopic endometrial ablation with a comparable success rate and minimal risk.

Isolated abducens nerve palsy in severe pre-eclampsia: A case report / 대한산부인과학회지

Neurological manifestation of pre-eclampsia is not so rare. But isolated abducens nerve palsy in pre-eclampsia is very rare. We report a case of severe pre-eclampsia with isolated abducens nerve palsy.