Correlation between SCC antigen and the prognosis of cervical cancer patients following concurrent chemoradiotherapy / 부인종양

OBJECTIVE: The aim of this study was to determine the correlation between SCC Ag and the prognosis in cervical cancer patients following concurrent chemoradiotherapy (CCRT). METHODS: The charts of 116 patients following concurrent chemoradiotherapy among 330 patients diagnosed to cervical cancer at Yonsei University Medical Center from Jan. 1998 to June 2003 were reviewed retrospectively. Clinical characteristics (age, parity, body mass index), stage, lesion size, cell type, squamous cell subtype, initial SCC Ag (or=1.5), posttreatment SCC Ag (or=1.5) was evaluated with overall survival. Distribution of SCC Ag level before CCRT in relation to FIGO stage and failure pattern in SCC positive patients before CCRT were reviewed. Overall survival was estimated according to respectively, subgroups of initial SCC Ag, SCC Ag after 2nd CCRT and posttreatment SCC Ag. Chi square test and Kaplan Meier test were used for statistical analysis (P<0.05). RESULTS: Overall survival was significantly correlated with only stage (P=0.0014). Two patients (15.4%) among 13 patients with recurrence had SCC Ag<1.5. Subgroups (1.5

The Significance of Bladder Trabeculation in the Female Lower Urinary System: An Objective Evaluation by Urodynamic Studies

This study aimed to investigate the relationship between bladder trabeculation, urinary function, and the stage of pelvic organ prolapse (POP). The medical records of 104 patients with POP who underwent cystoscopies and urodynamic studies were reviewed retrospectively. Age, incidence of detrusor instability, stage and site of POP, and the parameters of urodynamic studies of patients with and without bladder trabeculation were compared. The difference in the incidence of bladder trabeculation was estimated between patients with and without a suspected bladder outlet obstruction. There were significant differences in the patients' age, stage of POP, and maximal voiding velocity. Patients with a suspected bladder outlet obstruction had a significantly higher incidence of bladder trabeculation. In addition, patients with advanced stages of POP were also found to have a higher incidence of bladder trabeculation.

A Case of Metastasis to Lung of Benign Metastasizing Leiomyoma / 대한산부인과학회잡지

Leiomyoma of the uterus is the most common benign uterine tumor affecting 40-50% of women older than 40 years of age. The pathogenesis of uterine leiomyoma is unknown, but several studies have suggested that each leiomyoma arises from a single neoplastic cell within the smooth muscle of the myometrium. Uterine leiomyoma can be extended outside the uterus growing into the pelvic veins, and in exceptional cases, even into the lung. Even if this was first reported more than 90 years ago, the pathogenesis and treatment of benign metastasizing leiomyoma was not still established. We experienced a case of benign metastasizing leiomyoma and report with a brief review of literature.