A Case of Primary Non-Hodgkin's Lymphoma of the Ovary / 대한산부인과학회잡지

Primary non-Hodgkin's lymphoma of the ovary is a rare ovarian malignancy. Previous reports of ovarian non-Hodgkin's lymphoma have included both primary and secondary cases, because exactly defined criteria was not available. Ovarian lymphoma has been reported poor prognosis. However, true primary ovarian lymphoma shows a favorable prognosis. We experienced a case of primary non-Hodgkin's lymphoma of the ovary in a 34-year-old patient, who presented with abdominal distension and abdominal pain, and reported it with a brief review of literatures.

A Clinical Study of Borderline Malignant Tumors of the Ovary / 대한산부인과학회잡지

OBJECTIVE: To evaluate the clinical and histopathological features, treatment and prognosis of borderline ovarian tumors (BOT). METHODS: Thirty nine cases of BOT were treated between January 1985 and December 2001 at Maryknoll Hospital. All of BOT were classified in accordance with the WHO criteria for histological typing and clinical staging according to the FIGO system. The clinical records of all patients were reviewed retrospectively. RESULTS: The incidence of BOT was 21.0% (39/186) of epithelial ovarian malignancies and patients with these tumors tended to present at younger age (36.6 years old) than those with invasive carcinoma (53.6 years old). Fourteen patients (35.9%) were nullipara. The most common chief complaint was palpable mass (28.2%). Serous type (17.9%) occurred less frequently than mucinous type (76.9%). The positive ratio of CA 125 was 45%. Stage I was 37 cases (94.8%), stage II, 1 case (2.6%), and stage III, 1 case (2.6%). The mean size of mucinous tumors was larger than that of serous types (18.7 cm vs 10.0 cm). Twenty three (59%) cases were managed by conservative surgery (unilateral salpingo-oophorectomy) and sixteen cases (41%) by extirpative operation. Post-operative adjuvant chemotherapy was given to seven patients (17.9%). Median follow-up period was 30 months. One patient expired in case of mucinous tumor and seven cases lost during follow-up. Overall survival rate was 96.9%. CONCLUSION: Borderline ovarian tumors constitute approximately 21.0% of epithelial ovarian malignancy and occur in younger patients than those with invasive cancer. It is mostly seen serous and mucinous types and most of them are diagnosed at early stage making definite treatment possible.

Fetal Pericallosal Lipoma: US and MR Findings

We report a case of fetal pericallosal lipoma occurring at the anterior interhemispheric fissure and associated with agenesis of the corpus callosum. During targeted prenatal ultrasonography at 26 weeks' gestation, the lesion was seen as a highly echogenic mass. MR imaging performed at 35 weeks' gestation and during the postnatal period revealed a pericallosal fatty mass and agenesis of the corpus callosum.

The Association of Maternal Body Mass Index with Birth Weight and Cesarean Delivery / 대한산부인과학회잡지

OBJECTIVES: The aim of this study was to evaluate the correlations of pre-pregnancy maternal BMI(body mass index), and weight gain during pregnancy with Birth weight and Cesarean delivery in full term infants. METHODS: We collected data from 1086 pregnancies without complications, and analysed pre-pregnancy maternal BMI, weight gain during pregnancy, and the incidences of SGA(small-for-gestational age), LGA(large-for-gestational age), cesarean delivery. Chi-square test, T-test, and One way Anova test were performed for stastatical analysis. RESULTS: In pre-pregnancy maternal BMI 26.0kg/m2 group, 0%, 23.6% and 36.4% respectively(p<0.05). In under weight gain during pregnancy group, incidence of SGA was 13.4%, LGA 4.7% and cesarean delivery 15.7% respectively, but in high weight gain group, 4.8%, 19.5% and 21.0% respectively(p<0.05). CONCLUSION: There was significant correlations among pre-pregnancy maternal BMI, weight gain during pregnancy, birth weight and cesarean delivery. From these results, it is considered that antenatal maternal BMI and weight gain during pregnancy are valuable to predict birth weight and cesarean delivery.

A Case of Malingant Eccrine Poroma / 대한피부과학회지

Malinant eccrine poroma is a rare malignant tumor that arises from the intraepithelial ductal portion of the eccrine sweat gland, that may develop either spontaneously or from a preexisting benign eccrine poroma. It usually affects elderly patients in both sexes and is usually found on the lower extremities and the head. We described 71-year-old female with a malignant eccrine poroma in the scalp developing from benign eccrine poroma, which has been present for 5 years. The local recurrence and regional metastatic rate are both approximately 20%. Distant metastasis occurs in 12% of cases. In our case the tumor demonstrated without local invasion and distant metastasis, and was successfully removed by surgery.

A Case of Renal Cell Carcinoma Metastatic to the Scalp / 대한피부과학회지

Cutaneous metastasis from renal cell carcinoma is unusual and have been reported infrequently. We report a case of metastatic renal cell carcinoma in a 33-year-old man who presented with a 3.5X2.0 cm-sized round, brightly red colored nodule on the scalp for 1 month. A skin biopsy revealed the typical clear cell adenocarcinoma with clear cytoplasm and oval hyperchromatic nuclei arranged in glandular pattern consistent with metastatic renal cell carcinoma. In most instances, once cutaneous involvement is manifested the disease is widespread and has a poor prognosis. But, our case presented only a single cutaneous nodule, and workup showed no evidence of further metastasis for 1 year.

A Case of Postpartum Small Bowel Obstruction Following Vaginal Delivery / 대한산부인과학회잡지

Intestinal obstruction is a rare but important complication of pregnancy and puerperium leading to increased maternal and fetal motality. Diagnosis is often delayed or missed because many of the manifestations of intestinal obstruction such as nausea, vomiting and abdominal pain can be interpreted as pregnancy related symptoms. This delay in diagnosis or misdiagnosis, reluctance to surgery during pregnancy are thought to be responsible for the high maternal and fetal death rate. So we report a case of postpartum small bowel obstruction following vaginal delivery with a review of the literature.

The value of human chorionic gonadotropin as a predictor of pregnancy - induced hypertension / 대한산부인과학회잡지

No abstract available.

A Case of Intravenous Pyogenic Granuloma of the Palm

Intravenous pyogenic granuloma (IVPG) is a form of pyogenic granuloma (PG) in which the capillary proliferation is confined entirely within the lumen of a vein. It occurs typically in the neck and upper extremities. Histologically, this benign lesion is similar to PG of other localizations and is characterized by a lobular proliferation of capillaries growing in a sparsely cellular, edematous collagenous stroma. We report a case of IVPG developing in the palm, an unusual site of occurrence.

A Case of Pseudoxanthoma Elasticum Clinically Mimicking Cutis Laxa / 대한피부과학회지

Pseudoxanthoma elasticum is a rare, heritable, systemic disease of connective tissue characterized by degeneration of elastic fiber and mainly affects the skin, eye and blood vessels. We report a case of pseudoxanthoma elasticum mimicking cutis laxa. She had a generalized laxity of the skin for about 30 years. There were similar skin lesions in her sister. No other systemic involvement was found. Histopathologic examination revealed clumping, fragmentation and calcification of elastic fibers in the dermis.

A Case of Nerve Cheath Myxoma / 대한피부과학회지

No Abstract Available.

A Case of Lupus Erythematosus Panniculitis with Infiltration of Atypical Lymphocytes / 대한피부과학회지

Lupus erythematosus panniculitis is a rare variant of lupus erythematosus primarily involving a panniculus with or without discoid lupus erythematosus in the overlying skin. A 34-year-old woman showed multiple, variable-sized, indurated subcutaneous nodules on both her upper arms and axillae. A Histopathological examination revealed lobular panniculitis with infiltration of several hyperchromatic atypical large lymphocytes. The infiltrated cells were positively stained with LCA, UCHL-1, CD4, CD8, but not with CD20 and CD68. A T cell receptor -chain gene and immunoglobulin heavy chain gene rearrangement study showed no monoclonality. The result of an ANA test was positive at 1: 40 in a homogeneous pattern. Skin lesions were improved by combined therapy with daily hydroxychloroquine 400mg and prednisolone 10mg in a week and after 6weeks, resolved with atrophic depressed scars. After 4 months, she complained of symptoms of the Raynaud phenomenon and was managed by nifedipine. There has been no recurrence during follow-up for 7 months.

A Case of Pearly Penile Papules / 대한피부과학회지

Pearly penile papules are small, smooth, dome-shaped, grayish to skin-colored papules, that are arranged in one or several rows. These are commonly located circumferentially on the corona and sulcus of the glans penis. A 36-year-old male patient had had asymptomatic numerous pearly smooth 1 * 1mm -sized dome-shaped papules for several months. A Histopathological examination revealed an increased number of fibroblasts on the papillary dermis, vascular proliferation and a mild lymphocytic infiltration. We diagnosed the condition as pearly penile papules. No treatment other than reassurance was given. We report, herein, a case of pearly penile papules.