• 한국수정란이식학회지
• /
• 제28권4호
• /
• pp.303-305
• /
• 2013

A 11-year, 9-month-old female Shih-tzu was referred for evaluation of the body conditions. According to the physical examination and ultrasonography, the left ovarian mass was detected. For the removal of ovarian mass, an ovariohysterectomy was performed. Grossly, the ovarian mass was full of hairmatrix on the cut surface of the mass. Histopathological findings revealed a characteristic of teratoma, such as laminated keratines, hair, sebaceous glands, neuron tissue, differentiated bone and cartilage. The ovarian mass was well-differentiated components of 2 germ layers, and diagnosed as a mature teratoma.

• 한국임상수의학회지
• /
• 제22권4호
• /
• pp.424-427
• /
• 2005

A 5-year-old Pekingese bitch was presented with a history of vaginal bleeding and copulation before 4-week. Ovarian remnant syndrome was diagnosed on the clinical changes, vaginal cytology and exploratory laparotomy. An abdominal mass was diagnosed on radiography, ultrasonography and Computed Tomography. The remnant of ovarian tissue and an abdominal mass were removed surgically under general anesthesia. Ultrasonographic examination of the removed ovarian tissue (water bath scanning) revealed three corpora lutea. The condition resolved following surgical excision of the remaining ovarian tissue and an abdominal purulent mass.

• 한국임상수의학회지
• /
• 제39권3호
• /
• pp.107-113
• /
• 2022

This paper describes the computed tomographic features of ovarian masses in dogs. The CT images of female dogs with a confirmed histological diagnosis of ovarian tumors or ovarian cystic diseases were studied retrospectively. Seven dogs met the inclusion criteria. The morphological features of ovarian tumors and ovarian cystic diseases coincided to a certain degree, but ovarian tumors tended to be predominantly solid. Objective measurements of Hounsfield units (HU) suggest that benign lesions may show lower HU values than malignant tumors and mild contrast enhancement because of the small soft tissue composition. CT is useful for a differential diagnosis of ovarian masses by providing additional information on the imaging features of the masses and an evaluation of metastases.

• Asian Pacific Journal of Cancer Prevention
• /
• 제15권18호
• /
• pp.7665-7671
• /
• 2014

Objectives: The association between body mass index (BMI) and ovarian cancer risk is unclear and requires further investigation. The present meta-analysis was conducted to assess the effect of overweight and obesity on ovarian cancer risk in the premenopausal and postmenopausal periods. Data sources: Major electronic databases were searched until February 2014 including Medline and Scopus. Reference lists and relevant conference databases were searched and the authors were contacted for additional unpublished references. Review Methods: All cohort and case-control studies addressing the effect of BMI on ovarian cancer were included, irrespective of publication date and language. The effect measure of choice was risk ratio (RR) for cohort studies and odds ratio (OR) for case-control studies. The results were reported using a random effects model with 95% confidence intervals (CIs). Results: Of 3,776 retrieved studies, 19 were ultimately analyzed including 10 cohort studies involving 29,237,219 person-years and 9 case-control studies involving 96,965 people. The results of both cohort and case-control studies showed being overweight and obesity increased the risk of ovarian cancer compared to women with normal weight during both premenopausal and postmenopausal periods: RR=1.08 (95%CI: 0.97, 1.19) and OR=1.26 (95%CI: 0.97, 1.63) for overweight and RR=1.27 (95%CI: 1.16, 1.38) and OR=1.26 (95%CI: 1.06, 1.50) for obesity. Conclusions: There is sufficient evidence that an increase in BMI can increase the risk of ovarian cancer regardless of the menopausal status, mimicking a dose-response relationship although the association is not very strong.

• 한국임상수의학회지
• /
• 제39권4호
• /
• pp.168-172
• /
• 2022

A 10-year-old female Pomeranian weighing 2.25 kg with a history of gradual weight loss and an intraabdominal mass confirmed with ultrasonography at a local hospital was referred to the Veterinary Medical Teaching Hospital, Jeju National University. Physical examination revealed abdominal distention. Blood analysis revealed hypoglycemia (57 mg/dL; reference range, 60-110 mg/dL). On abdominal ultrasonography, a heterogeneously hyperechoic mass measuring 7.51 × 10.6 cm was found at the level of the left kidney. Computed tomographic findings showed a unilateral left kidney mass with a 10-cm diameter and vessel contrast enhancement in the corticomedullary phase. Unilateral nephrectomy and ovariohysterectomy were performed because left ovary enlargement was observed during surgery. The renal mass was adjacent to the aorta and vena cava and attached to a portion of the small intestine, greater omentum, and left ovary. The mass was huge (12.5 × 10 × 7 cm) and was 16.5% of the body weight. Histopathological examination revealed renal cell carcinoma (RCC) and ovarian metastasis. After surgery, clinical signs improved remarkably, and serum glucose level returned to normal. As RCC is resistant to radiation and chemotherapy, the owner decided not to proceed with postoperative adjunctive therapies. To the best of our knowledge, this is the first case report of ovarian metastasis with huge RCC in a dog.

• 한국임상수의학회지
• /
• 제28권2호
• /
• pp.267-270
• /
• 2011

소에서의 난소종양은 흔치 않으며 발견되는 대부분의 난소종양은 과립막세포종양이다. 소의 난소섬유종은 매우 드물며 노령의 동물에서 발병하는 경향이 있다. 본 증례에서는 분만 후 발정정후를 나타내지 않은 초산 젖소에서 발견된 큰 난소종괴를 연속적으로 관찰한 결과이다. 종괴를 초음파로 6개월 동안 연속적으로 관찰한 결과 크기가 지속적으로 증가하였다. 난소절제술을 시행하여 육안검사 및 조직학적 검사소견으로 난소섬유종으로 진단하였다. 본 증례는 살아있는 젖소에서 연속적인 관찰과 진단을 내린 난소섬유종의 첫 사례이다.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권5호
• /
• pp.2037-2041
• /
• 2015

Background: Relationships between poor prognosis of ovarian malignancies and changes in complete blood count parameters have been proposed previously. In this work, we aimed to evaluate clinicopathologic features in adolescents with adnexal masses and sought to establish any predictive value of the platelet to lymphocyte ratio (PLR) in diagnosis. Materials and Methods: This retrospective study was conducted on 196 adolescent females with adnexal masses. Three groups were constituted with respect to clinical or histopathology results: group 1, non-neoplastic patients (n:65); group 2, neoplastic patients (n:68); and group 3 expectantly managed patients (n:63). The main parameters recorded from the hospital database and patient files were age, body mass index (BMI), chief symptoms, diameter of the mass (DOM), tumor marker levels, complete blood count values including absolute neutrophil, lymphocyte, and platelet counts, mean platelet volume, platelet distribution width, and platecrit, surgical features, and postoperative histopathology results. Results: The expectantly managed patients were younger than the other groups (p=0.007). The mean body mass index (BMI) was higher in the neoplastic group (p=0.016). Preoperative DOM, CA125, mean platelet volume and PLR were statistically significantly different between the groups (p<0.05). ROC curve analysis demonstrated that increased PLR (AUC, 0.609; p=0.011) and BMI (AUC, 0.611; p=0.011) may be discriminative factors in predicting ovarian neoplasms in adolescents preoperatively. When the cut-off point for the PLR level was set to 140, the sensitivity and specificity levels were found to be 65.7% and 57.6%, respectively. Conclusions: We suggest that beside a careful preoperative evaluation including clinical characteristics, ultrasonographic features and tumor markers, PLR may predict ovarian neoplasms in adolescents.

• 대한한의학원전학회지
• /
• 제12권1호
• /
• pp.113-138
• /
• 1999

Distension of hydrops is the pathosis that the hydration is retented in abdomen and that is caused by disturbance of hydrometabolism. Most of hydrops belongs to Consolidation. In part of OhRyungJinAek-Byeul of Youngchu"靈樞 五癃津液別", the general explanation of hydrops is briefed. But there was nothing about pathogenesis, pathology, symptoms and the method of treatment. The part SuChang of Youngchu "靈樞 水脹" divided it by Superficial-swelling, Hidden-swelling, Ovarian-hydrops, Stony-uterin-mass and explained it to cure by Category of pathology. So, the books JeByeongWonHuRon"諸病源候論" ChonGeumYoBang"千金要方", WoiDaeBiYo"外臺秘要", TaePyeungSeongHyeBang"太平聖惠方", BoJeBang"普濟方", EuiHakGangMok"醫學綱目", DongEuiBoGam"東醫寶鑑" etc. published later, show the method of treatments and medications with quotation the original text of this part. And it is convinced that more profound research of this part is inevitable to understand the correct meaning of hydrops that explained by many of ancient medical scholars, and to apply it to clinical medicine. There is an explanation on Distension hydrops in the prologue of this part. And t six kinds of disease in this part is simila to edema, so it is called SuChang"水脹", pathology of Edema. Superficial-swellin Hidden-Swelling is reported in the fir chapter, differential diagnosis of Ovarian-hydrops, Stony-uterin-mass is rep in the second chapter, and treatment Superficial swelling. Hidden Swelling reported in the third chapter. Briefly looking over that chapter, Distension of hydrops is recognized as stay of hydration at the abdomen as a result of disturbance of hydrometabolism and it says about symtoms, pathogenesis, pathology, differential diagnosis, treatment of Hydrops Superficial-swelling Hidden-swelling Ovarian-hydrops Stony-uterinmass. And it says about a few things that Superficial-swelling, Hidden-swelling could be differentiated by colors of skin and distension of abdomen, and Ovarian-hydrops, Stony-ulerin-mass could be differentiated that it occurs which sex and whether mensturation occurs or not, and treatment of Superficial-swelling, Hidden-swelling, Ovarian-hydrops.

• Clinical and Experimental Reproductive Medicine
• /
• 제46권1호
• /
• pp.30-35
• /
• 2019

Objective: Bilateral uterine artery ligation (UAL) is a fertility-preserving procedure used in women experiencing postpartum hemorrhage (PPH). However, the long-term effects of this procedure on ovarian function remain unclear. The aim of this study was to investigate whether bilateral UAL compromised ovarian reserve and ovarian blood supply. Methods: This prospective study included 49 women aged between 21 and 36 years who had undergone a cesarean section for obstetric indications. Of these, 25 underwent uterine bilateral UAL to control intractable atonic PPH. The control group consisted of 24 women who had not undergone bilateral UAL. Standard clinical parameters, the results of color Doppler screening, and ovarian reserve markers were assessed in all participants at 6 months after surgery. The clinical parameters included age, parity, cycle history, body mass index, and previous medication and/or surgery. Color Doppler screening findings included the pulsatility index (PI) and resistance index (RI) for both the uterine and ovarian arteries. The ovarian reserve markers included day 3 follicle-stimulating hormone (FSH) levels, antral follicle count, and $anti-M\ddot{u}llerian$ hormone (AMH) levels. Results: There were no significant differences in the ovarian reserve markers of day 3 FSH levels, antral follicle count, and AMH levels between the study and control groups (p> 0.05 for all). In addition, no significant differences were observed in the PI and RI indices of the uterine and ovarian arteries (p> 0.05 for all). Conclusion: In this study, we showed that bilateral UAL had no negative effects on ovarian reserve or ovarian blood supply, so this treatment should be used as a fertility preservation technique to avoid hysterectomy in patients experiencing PPH.

• Advances in pediatric surgery
• /
• 제15권1호
• /
• pp.73-79
• /
• 2009

Sertoli-Leydig cell tumor is a rare sex-cord stromal tumor of the ovary. They make up less than 0.5 % of all ovarian tumors. We experienced a case of an ovarian Sertoli-Leydig cell tumor in a 4 year-old girl who presented with nausea, vomiting, and lower abdominal pain of 2 days' duration. On physical examination, there was mild tenderness in the right lower quadrant of the abdomen. Abdominal ultrasonography and computed tomography (CT) scan revealed a pelvic mass measuring $5{\times}3cm$ that appeared to arise from the right ovary. At exploratory laparotomy, a $6{\times}5{\times}3cm$ solid right ovarian mass without torsion was found. A right salpingo-oophorectomy was performed. The postoperative course was uneventful. The child was discharged 5 days after surgery.