Résumé
Squamous cell carcinoma antigen (SCC-Ag) is a well-established tumor marker for monitoring recurrence of squamous cell carcinoma of the cervix. However, serum levels of SCC-Ag could be elevated by some benign conditions not to speak of squamous cell malignancies other than cervical carcinoma. Sinonasal inverted papilloma is one of benign tumor which may elevate serum SCC-Ag level. We experienced a case of cervical carcinoma patient whose serum level of SCC-Ag was not normalized in spite of combination chemotherapy until surgical removal of maxillary inverted papilloma detected by PET/CT.
Sujets)
Femelle , Humains , Carcinome épidermoïde , Col de l'utérus , Association de médicaments , Études de suivi , Papillome inversé , Tomographie par émission de positons , Tomographie par émission de positons couplée à la tomodensitométrie , RécidiveRésumé
OBJECTIVE: To analyse sexual assault cases epidemiologically. METHODS: We evaluated 129 female patients who visited the female sexual assault center in northeast area of Seoul with a complaint of sexual assault. After patient's consent was obtained, history taking and physical examination was performed. Photographic record was obtained on appropriate sites. We reviewed their medical and standardized rape records and photographs retrospectively. Descriptive statistics was performed with medico-legal parameters. RESULTS: Of 129 sexual assault victims, 44.2% were under 19 years of age. Spring was relatively vulnerable season for sexual assaults, vulnerable time was between 12 to 18 o'clock for victims younger than 14 years and between 0 to 6 o'clock for victims older than 13 years. Most frequent place was hotel for adolescent victims and was victim's house for other age groups. Sixty seven percent of assailants were strangers to the victims. Genital trauma was more frequent in victims younger than 20 years and alcohol use was more prevalent among adolescent victims. 82.2% of victims visited hospital within 24 hours and 91.4% of victims has destroyed potential physical evidences by bathing, douching, tooth brushing, changing clothes, defecation or urination. Follow up rates are low: 28.7% in obstetrics and gynecology clinic, 5.4% in psychiatric clinic. CONCLUSION: This study provide more accurate information about epidemiology of sexual assaults.
Sujets)
Adolescent , Femelle , Humains , Bains , Défécation , Épidémiologie , Études de suivi , Gynécologie , Obstétrique , Examen physique , Viol , Études rétrospectives , Saisons , Séoul , Irrigation thérapeutique , Dent , MictionRésumé
OBJECTIVE: To analyse sexual assault cases epidemiologically. METHODS: We evaluated 129 female patients who visited the female sexual assault center in northeast area of Seoul with a complaint of sexual assault. After patient's consent was obtained, history taking and physical examination was performed. Photographic record was obtained on appropriate sites. We reviewed their medical and standardized rape records and photographs retrospectively. Descriptive statistics was performed with medico-legal parameters. RESULTS: Of 129 sexual assault victims, 44.2% were under 19 years of age. Spring was relatively vulnerable season for sexual assaults, vulnerable time was between 12 to 18 o'clock for victims younger than 14 years and between 0 to 6 o'clock for victims older than 13 years. Most frequent place was hotel for adolescent victims and was victim's house for other age groups. Sixty seven percent of assailants were strangers to the victims. Genital trauma was more frequent in victims younger than 20 years and alcohol use was more prevalent among adolescent victims. 82.2% of victims visited hospital within 24 hours and 91.4% of victims has destroyed potential physical evidences by bathing, douching, tooth brushing, changing clothes, defecation or urination. Follow up rates are low: 28.7% in obstetrics and gynecology clinic, 5.4% in psychiatric clinic. CONCLUSION: This study provide more accurate information about epidemiology of sexual assaults.