• Radiation Oncology Journal
• /
• 제18권1호
• /
• pp.32-39
• /
• 2000

목적 : 자궁경부 선암은 발생률이 적어 편평상피암에 비하여 아직 치료방법에 대한 연구가 미흡하다. 또한 지금까지 저선량률 강내치료가 많이 사용되어 고선량률 강내치료의 결과는 많이 보고되고있지 않다. 따라서 저자들은 자궁경부 선암환자에서 고선량률 강내치료와 저선량률 강내치료를 비교하여 고선량률 강내치료의 효과를 알아보고자 하였다. 대상 및 방법 : 1971년 1월부터 1992년 12월까지 연세대학교 방사선종양학과에서 근치적 목적으로 치료된 106명의자궁경부 선암 환자를 대상으로 하였다. 저선량률 강내치료는 35명에서 시행되었고, 71명은 고선량률 강내치료가 시행되었다. 저선량률군에서는 병기 1기가 8명, 병기 2기가 18명, 병기 3기가 9명이었고 외부방사선치료는 10 MV X-ray를 이용하여 매일 2 Gy씩 총 40$\~$64 Gy (중앙값 48 Gy)가 조사되었다. 저선량률 강내치료는 radium 선원을 이용하여 Henshke applicator로 시행되었고 point A에 22$\~$59 Gy (중앙값 43 Gy)가 조사되었다. 고선량률군에서는 병기 1기가 16명, 병기 2기가 38명, 병기 3기가 17명 이었다. 외부방사선치료량은 40$\~$61 Gy (중앙값 45 Gy)이었고 분할선량은 1.8$\~$2.0 Gy이었다. 고선량률 강내치료는 Co-60 선원을 사용하여 RALS (remote afterloading system)로 분할선량 3 Gy를 주 3회 총 30$\~$57 Gy (중앙값 39 Gy)가 시행되었다. 결과 :저선량률군의 5년 생존률은 병기1, 2, 3기에서 각각 72.9, 61.9, 45.0$\%$이었고 고선량률군에서는 각각 87.1, 58.3, 41.2$\%$이었다(p>0.05). 자궁경부 선암에서 고선량률군과 저선량률군간의 5년 생존률에는 차이가 혀었다. 또한 양군간에 유의한 예후인자는 없었다. 고선량률군의 만성 합병증률은 26.8$\%$로 저선량률군의 11.4$\%$에 비하여 높았으나 대부분 grade 1의 경미한 정도이었고 통계학적인 차이가 없어 받아들일 만한 결과이었다. 결론 :자궁경부 선암 환자에서 고선량률 강내치료는 저선량률 강내치료에 비하여 5년 생존률과 치료실패율에서 차이를 보이지 않아 저선량률 강내치료를 대치할 수 있을 것으로 생각되나 병기 2기와 3기에서 만성 합병증이 높아 분할 선량에 대한 연구가 필요할 것으로 생각된다.

• 대한간호
• /
• 제9권4호통권48호
• /
• pp.53-62
• /
• 1970

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권5호
• /
• pp.1935-1937
• /
• 2015

The potential association between the GSTM1 deletion polymorphism and risk of cervical cancer was investigated in Northeastern Thailand. DNA was extracted from buffy coat specimens of 198 patients with squamous cell carcinoma of the cervix and 198 age-matched healthy controls. Genotyping of the GSTM1 was conducted by using two PCR methods, a short- and a long-PCR. Distribution of the GSTM1 genotypes in between the cases and the controls was not significantly different (p>0.5 by ${\chi}^2$ test). The results suggest that the GSTM1 deletion polymorphism is not a risk factor for squamous cell carcinoma of the cervix in the northeast Thai women.

• Journal of Radiation Protection and Research
• /
• 제6권1호
• /
• pp.31-33
• /
• 1981

The 42 patients with carcinoma of the cervix, performed intracavitary radiotherapy, were analysed the doses at points A and B comparing to the mghr prescription. The doses at points A and B were calculated by PC-12 computer planning system. Correlation coefficienty between doses at points A and B and the mghr prescription are 0.82 (p<0.001) and 0.90 (p<0.001) respectively. The slope of the point A line is 0.70 and the slope of the point B is 0.21. Therefore, the dose at point A is approximately 3/4 the mghr prescription and the dose at point B is approximately 1/4 the mghr precription.

• 보건교육건강증진학회지
• /
• 제6권1호
• /
• pp.60-65
• /
• 1989

A statistical analysis was made on 15,971 surgically operated patients at D-Medical Center in the year of 1978 and 1988. 1,416 cancer patients among them were classified by sex, age, and malignant tumor site. The obtained results indicated that trend of male cancer was generally similar to the results of nation wide study. But, specific phenomenon was found in the case of female cancer in Daegu-Kyungbuk area. Among females the frequency rank was uterine cervix (35.77%), breast (17.97%), stomach (11.65%) in 1988. The frequency of uterine cervix was higher than other area. Breast cancer was highly ranked tumor compare with other area, and its age distribution also appeared in much younger decade.

• 한국가축번식학회지
• /
• 제8권2호
• /
• pp.87-91
• /
• 1984

This study was conducted to determine the optimum time and the insemination site of frozen in Cheju native cows, and 660 cows first service inseminated with rectovaginal methods by 3 skillful technicians as 3 districts near Cheju City and Sogwipo City areas obtained the following results. Optimum time for insemination was 16-20 hours after the onset of estrus and 80.6% of 67 conceived to first insemination. In the rectovaginal technique used widely at present conception rate for the palpation of ovaries showed 6.6% (index) higher than that of non-palpation. Conception rate of the insemination site; the intra-uterine horn, intra-uterus, just inside the cervix and depositing in mid-cervix were 62.5, 78.4, 74.6, and 80.9% respectively, however, there was no difference in conception rate between cervical and uterine deposition of forzon semen except for the intra-uterine horn.

• Asian Pacific Journal of Cancer Prevention
• /
• 제14권12호
• /
• pp.7761-7762
• /
• 2013

Alternative strategies such as visual inspection of cervix with acetic acid, are real time, economical and easily implemented methods for cervical cancer screening. However, variable sensitivity and specificity have been observed in various community based studies. The possible reasons could include variation in man power training, light source used for visualization, and preparation of diluted (4-5%) acetic acid and its storage. A standardized protocol for training, teaching material (easy to understand in the local language) for trainees, supervision and reinforcement by intermittent and supplementary training to check the quality of their observation, a standard protocol for preparation dilute acetic acid and its storage and a standard good light source (equivalent to day light) are needed to minimize the variation in sensitivity and specificity of VIA in community settings.

• 한국임상수의학회지
• /
• 제35권5호
• /
• pp.222-225
• /
• 2018

The current study describes a case of endometrial polyps accompanied by an open-cervix pyometra in a 15-year-old female Chinchilla Persian cat. The cat was presented with a history of a large mass in the endometrium and purulent discharge from the vulva. Ovariohysterectomy was performed and pedunculated polypoid mass on the endometrium was seen protruded into the uterine cavity. Histologically, the mass was composed of multiple cystically dilated glands surrounded by fibrous stroma. Based on gross and histologic findings, the diagnosis for this case was concluded.

• Journal of Preventive Medicine and Public Health
• /
• 제7권2호
• /
• pp.367-372
• /
• 1974

Authors reviewed 2,362 cases of consecutive vaginal and cervical smears submitted to the Department of Pathology, Pusan Gospel Hospital during one year period from Jan. 1, 1974 to Dec. 31, 1974. Prevalence of dysplasia, carcinoma in situ and invasive carcinoma of the uterine cervix was analyzed, and cost per a lesion was calculated. The followings are conclusions: 1. Prevalence of dysplasia, carcinoma in situ and invasive carcinoma was 2.88%, 0.34% and 2.58% restectively. 2. Cost per a lesion for dysplasia was calculated as 34,735 Won, for carcinoma in situ, as 295,250 Won and for invasive carcinoma as 38,721 Won. Cost per a lesion for dysplasia and carcinoma in situ was calculated as 31,079 Won and for dysplasia and for all the lesions as 17,248 Won. 3. The results obtained suggested that mass cytologic screeiding for detection of dysplasia, carcinoma in situ and invasive carcinoma was reasonable in the present status of economy.

• Radiation Oncology Journal
• /
• 제7권1호
• /
• pp.77-80
• /
• 1989

임신중의 침윤성 자궁경부암은 비교적 드물다. 임신중 자궁경부암 치료는 암의 제거뿐 아니라 태아의 생명도 고려해야 한다. 임신초기 및 중기에 진단을 받았을 시에는 치료는 즉시 시작되어야 하고 임신후기에는 태아의 생명력이 있을 때까지 치료는 연기되어야 한다.