• Title/Summary/Keyword: uterus wall

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Subcutaneous fascioliasis: A case report (흉벽 근육내에 발생한 간질(간질)의 이소기생 증례)

  • 장의찬;최호림
    • Parasites, Hosts and Diseases
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    • v.29 no.4
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    • pp.403-406
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    • 1991
  • A 32-year old housewife, living in Seoul, recognized incidentally a painless mass at the left chest wall. During later 3 months, she experienced spontaneous swelling and regression of the mass repeatedly for 4 times. Surgical resection showed a granuloma at anterior serratus muscle containing a nearly matured adult of Fasciola species without vitellaria and uterus. This is the l1th human fascioliasis and the first extra-abdominal infection reported in Korea.

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Successful laparoscopic surgery of accessory cavitated uterine mass in young women with severe dysmenorrhea

  • Park, Joon Cheol;Kim, Dong Ja
    • Journal of Yeungnam Medical Science
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    • v.38 no.3
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    • pp.235-239
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    • 2021
  • Accessory cavitated uterine mass (ACUM) is a rare and unique condition seen in young women. We report cases of ACUMs in two patients, a 14-year-old girl and a 25-year-old woman, both with complaints of severe dysmenorrhea that had started at menarche and had progressively worsened since. A large cystic lesion was localized in the anterolateral wall of the myometrium separate from the endometrium, which was difficult to distinguish from congenital uterine anomalies. Laparoscopic excision of the ACUMs was successful and completely resolved the dysmenorrhea. Early investigation of severe dysmenorrhea in young women can provide appropriate management and relieve symptoms.

Localization of actin and myosin in Cryptosporidium parvum using immunogold staining (작은와포자충에서 면역황금염색법을 이용한 actin과 myosin의 위치 관찰)

  • 유재란;채종일
    • Parasites, Hosts and Diseases
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    • v.33 no.3
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    • pp.155-164
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    • 1995
  • The location of actin and myosin of the several stages of Cwptosporinium parvum was observed. The tissue antigen of C. pcruum was prepared through immunosuppression of IgG mice with Depomedrol . The thin sectioned specimens, which were incubated with the IgG fraction of the rabbit polyclonal antibodies raised against chicken back muscle actin and bovine uterus myosin, were treated with 10 nm gold-conjugated goat anti-rabbit IgG, Electrodense particles were located mainly on the pellicles of all observed developmental stages of the parasites. The number of actin gold particles in the cytoplasm increased when the parasite was dividing actively as in case of meronts. Especially in macrogametocytes, a lot of actin and myosin particles were synthesized and storaged as amilopectin-like bodies. There were many actin gold particles along the microspikes of cytoplasmic membranes in various developmental stages. The actin and myosin observed in this study may play important roles to control the shape of the parasites and movement of cytoplasmic membranes as cvtoskeletal proteins.

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Ultrasonography, Affected Age, Hematology and Clinical Signs according to Open or Closed Cervix in Dogs with Pyometra

  • Lee, Jun-Am;Kim, Ill-Hwa;Hwang, Dae-Youn;Kang, Hyun-Gu
    • Journal of Veterinary Clinics
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    • v.33 no.6
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    • pp.362-367
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    • 2016
  • The aim of the study was to evaluate ultrasonographic findings, affected age, hematology, blood chemistry and clinical signs according to open or closed cervix in 102 bitches presented for treatment of pyometra. The prevalence of pyometra according to breed was observed in Maltese 22.5%, Yorkshire Terrier 13.7% and Shih Tzu 12.7%. The mean age of dogs was $9.6{\pm}0.3years$, and open cervix pyometra was more prevalent than closed cervix pyometra. Clinical signs included anorexia, vaginal discharge, depression, polyuria/polydipsia, vomiting, and abdominal distension. The concentration of BUN and the activity of ALP in dogs with closed cervix pyometra were significantly higher than those in dogs with open cervix pyometra (p < 0.05). The white blood cell and neutrophils in dogs with closed cervix pyometra were significant higher than those in dogs with open cervix pyometra (p < 0.05). Ultrasonographic findings of the uterus with open or closed cervix pyometra showed variable patterns. The uterine wall was variable in appearance, from thick and irregular to smooth and thin. The uterine wall was thicker in open cervix pyometra than in closed cervix pyometra. The luminal cavity included smaller amount of anechoic fluid in open cervix pyometra than in closed cervix pyometra.

Effects of Onkyung-tang on Surgically Induced Endometriosis in Rats (온경탕(溫經湯)이 자궁내막증 유발 백서에 미치는 영향)

  • Lim, Eun-Mee;Kwon, Ki-Rok;Kim, Hyeong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.19 no.2
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    • pp.18-33
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    • 2006
  • Purpose : Endometriosis has been thought to be related with blood stasis in uterus. Onkyung-tang is a herb which has effectiveness of activating blood, warmy and regulating mensturation, therefore in the present study, the effects of Onkyung-tang on endometriosis were investigated. Methods : The endometrial tissue was autografted to Rat's small intestine. Rats with surgically induced endometriosis was orally administerd with Onkyung-tang for 40 days. Size of ectopic uterine implants at the serosal wall and concentration of progesterone, estradiol, $TNF-{\alpha}$ and IL-2, 4, 6, 10 in serum were examined and compared with the control group. Results : The size of ectopic uterine implants of treated group was much smaller than that of control group. The concentration of estradiol, $TNF-{\alpha}$ and IL-4 level were significantly decreased in experimental group compared with the control group. IL-10 level was significantly increased in experimental group compared with the control group. There was no significant difference in progesterone, IL-2, 6 level in experimental group and control group as well. Conclusion : My data suggest that Onkyung-tang reduce the size of ectopic uterine implants at the serosal wall and inhibit the growth of ectopic uterine implants. Judging from the above results, it can be suggested that Onkyung-tang should be a useful agent for inhibiting the proliferation of uterine endometrial tissue.

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Immunocytochemical Study on the Mouse Uterine Wall using Monoclonal anti $\beta$-hCG (생쥐 자궁벽에 있어서 $\beta$-hCG에 대한 단일클론항체를 이용한 면역세포화학적 연구)

  • 오선희;최임순
    • The Korean Journal of Zoology
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    • v.35 no.4
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    • pp.448-455
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    • 1992
  • 생쥐에 hCG를 투여한 후 자궁벽에서 hCG와 결합하는 세포의 종류를 판별하고, 그 세포가 hCG에 의해 어떠한 영향을 받는지를 알아보기 위하of 면역세포화학적 염색을 수행하였다. p-hCG에 대한 단일크론항체에 양성반응을 나타내는 세포는 주로 자궁벽의 자궁근막 삼각과 자궁내막 기저층에 분포하였으며, 세포질에서 양성반응을 일으킨 것으미 관찰되었다. hOG를 투여하고 3, 6, 24시간 후에 각각 자궁벽라 자궁근막에서 양성반응세포를 관찰한 결과, 양성반응세포의 이동현상을 관찰할 수 있었다. 즉, 자궁근막에서 보면, 3시간 후에는 자궁근막의 혈관내부와 주변에서 다수가 관찰되었으며, 6시간 후에는 소수가 관찰되었고, 24시간 후에는 관찰되지 않았다. 또한 동일 시간에 적출된 자궁벽에서는 6시간에서 가장 많은 수의 양성세포가 관찰되었다. 따라서 자궁벽과 자궁근막에서 관찰되는 양성반응세포의 수 사이에는 반비례적 상관관계를 나타냈다. 한편, 난소를 적출한 생쥐의 자궁에서는 양성반응세포의 수가 현저히 감소된 것으로 나타났으며, hematoxvlin-eosln 염색 결과 양성반응세포로 추정되는 세포의 세포질에서 호산성과림이 관찰되었다. 이와 같은 결과로 볼 때, 양성세포는 GMG(granulated metrial gland) 세포로 판단되었으며, 이 세포의 이동은 스테로이드호르몬에 의해 영향을 받는 것으로 사료되었다.

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A Case of Equine Uterine Angioleiomyoma

  • Jang, Seong-Hwan;Kim, Jae-Hoon
    • Journal of Veterinary Clinics
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    • v.33 no.5
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    • pp.316-319
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    • 2016
  • A 12-year-old thoroughbred mare with four days history of anorexia and high fever was submitted to the Equine Hospital. She failed to conceive in the following the breeding season in spring. In rectal palpation, mass could be palpable surrounding ovary. Because of the poor prognosis, full necropsy for mare was decided. The mass is located between right large and small colon, cranial to ovary using ultrasonography. Grossly, the mass was about $5{\times}3.5{\times}4cm$ in size, and the cut surface of mass showed brownish yellow in color with red-to orange granular areas Histopathologically, neoplastic cells were mixed with well differentiated spindle shape cells arranged in interlacing, interwoven pattern and poorly differentiated spindle cells. Neoplastic cells had abundant pink cytoplasm and bland and cigar-shaped nuclei with low mitotic figures. Many arteriole-like blood vessels with thick muscular wall were present throughout the mass. Masson's trichrome staining revealed muscle origin tumors in this case. Immunohistochemically, the neoplastic spindle cells showed positive reactions for smooth muscle actin and desmin. In our best knowledge, this is the first report of uterine angioleiomyoma in mare in Korea.

Multi-element Ultrasound Applicator for the Treatment of Cancer in Uterus and Cervix (자궁암 치료용 다채널 초음파 온열치료기)

  • Lee Rena
    • Progress in Medical Physics
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    • v.16 no.1
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    • pp.16-23
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    • 2005
  • The objective of this study was to construct multi-element ultrasound applicators for the treatment of gynecologic cancer with high dose rate brachytherapy. For the treatment of uterus, piezo-ceramic crystal transducer (PZT -5A) with outer diameter of 4 mm, wall thickness of 1.3 mm, and length of 24.5 mm was selected. For the treatment of cervix or vagina, it should be possible to insert the applicator into the vagina. Thus, a cylindrical PZT -8 material with outer diameter of 24.5 mm, wall thickness of 1.3 mm, and length of 15.2 mm was selected. The operating frequencies determined by vector impedance measurement were 3.2 MHz for the PZT 5A cylinder (OD=4 mm) and 1.7 MHz for the PZT -8 cylinder (OD: 24.5 mm). The ratios of generated acoustic output power to applied electric power were 33% and 61% for the tandem type crystal and the cylinder type crystal, respectively. The radiated acoustic pressure fields from both transducers were calculated using a Matlab code and measured in water using hydrophone. There was good agreement between measured and calculated acoustic pressure field distribution. For a tandem type transducer, the calculated acoustic pressure field decreased from 0.023 MPa at 10 mm to 0.010 Mpa at 30 mm, the reduction of 57%. For the cylinder type transducer which will be used for the treatment of vagina showed 78% reduction at 15 mm and 66% at 25 mm as compared to values at 5 mm from the surface. Based on the characteristics of the transducers, this study demonstrated the possibility of using the crystals as a heating source. Finally, a 3-element and 4-element prototype applicators were constructed. The 3-element applicator is 75 mm long and 4 mm thick and will be used for the treatment of uterus. The 4-element applicator is 61 mm long and 24.5 mm thick and will be used for the treatment of vagina. Using these applicators, it is possible to generate enough power to increase temperature to therapeutic level.

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Serial ultrasonographic appearance of postpartum uterine involution in Korea Jin-do dogs (진도개에서 분만후 자궁수복의 연속적 초음파상)

  • Son, Chang-ho;Kang, Byong-kyu;Choi, Han-sun;Kim, Ki-won;Kang, Hyun-gu;Shin, Chang-rok;Park, In-chul
    • Korean Journal of Veterinary Research
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    • v.39 no.3
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    • pp.653-664
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    • 1999
  • This study was undertaken to determine the normal appearance of the postpartum uterine involution. Postpartum changes in uterine shape, architecture, echogenicity and diameter were monitored with ultrasonography in 11 Korea Jin-do dogs. Serial ultrasonographic examination was done daily during the first week, 3 days interval from 8 to 30 days, and weekly from 31 to 100 days postpartum, respectively. Of 11 postpartum bitches, 10 bitches (90.9%) had normal involution and 1 bitch (9.1%) had subinvolution of the placental sites (SIPS) by gross findings, vaginal discharges, and by ultrasographic findings, uterine shape and echogenicity. The excretory period of vaginal discharges in 10 normal bitches of uterine involution was finished completely at $20.2{\pm}4.6$ days (Mean${\pm}$SD) postpartum, but in 1 SIPS at 50 days postpartum. The short axis shape of the uterus was initially often flaccid-appearing. It varied from circular to crescent shaped to polygonal. This lasted until $16.5{\pm}3.7$ days postpartum, during which time the short axis uterine shape gradually changed to circular. Also, the long axis shape of the uterus was created a beaded appearance of the horns until $29.9{\pm}3.2$ days postpartum. After 30 days, it was appeared as tubular shape without distinguished between placental and interplacental sites. The ultrasonographic image of the postpartum uterus consisted of four echogenicity distinct layers. Uterine wall was represented the very hyperechoic serosa, hypoechoic myometrium, hyper echoic endometrium and anechoic structures of fluid in the uterine cavity until 7 days postpartum. The individual uterine layers were most prominent during the first week postpartum, and they became progressively less distinct throughout the course of uterine involution. Anechoic structures of fluid in the uterine cavity was detected until $25.0{\pm}6.4$ days postpartum, after which time it was not reliably detected. The uterine diameter was decreased not only in the placental sites frorm $24.1{\pm}2.5mm$ at 1 day to $15.4{\pm}1.4mm$ at 7 days postpartum, but also in the interplacental sites $14.9{\pm}1.5mm$ at 1 day, $10.6{\pm}0.8mm$ at 7 days postpartum. There was a general trend of decreasing uterine diameter, which occurred more rapidly at the placental sites. At 31 days pastpartum, these diameter reached almost same size, after that time, they could be not distinguished between placental and interplacental sites. At 87 days postpartum, the uterine diameter was $5.6{\pm}0.6mm$ both placental and interplacental sites, and the uterine horns were uniform hypoechoic, tubular structures without enlargement. Therefore, complete involution of the uterus occurred at that time. It was concluded that normal postpartum uterine involution in Korea Jin-do bitches appeared to be completed around 87 days postpartum by gross findings such as vaginal discharges, and by ultrasonographic findings, uterine shape and echogenicity. Also ultrasonographic characteristics of the postpartum uterine involution were described. Therefore, these result suggest that ultrasonographic assessment is a reliable method for diagnosing the SIPS and uterine dysfunction, such as pyometra in bitch.

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A CASE REPORT OF MAXILLARY LEIOMYOSARCOMA WITH REGIONAL LYMPH NODE METASTASIS (국소 림프절 전이를 보이는 상악 평활근 육종에 대한 증례보고)

  • Park, Soong;Lee, Baek-Soo;Kim, Yeo-Gap;Kwon, Yong-Dae;Choi, Byung-Joon;Kim, Young-Ran
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.2
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    • pp.183-188
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    • 2010
  • Leiomyosarcoma is a malignant neoplasm of smooth muscle origin and mostly originate from the wall of uterus and gastrointestinal tract, but primary leiomyosarcoma of the oral cavity is extremely rare. This tumor has a very poor prognosis due to high recurrence and metastasis rate, with 5 year survival rate of 32%. And regional lymph node metastasis is uncommon event. Complete wide surgical excision is the treatment of choice. A 64-year old man who had a painful ulcerative lesion on the labial & palatal gingiva of #11, 21 visited our department, and was diagnosed as leiomyosarcoma through a biopsy. Partial maxillectomy was carried out, with no following radiotherapy or chemotherapy. After months follow-up, there has been no evidence of recurrence or metastasis. But after months, we clinically find out two enlarged immobile palpable lymph node in right submandibular area of patient. So a biopsy was performed via an extraoral incision under local anesthesia. Histopathologic diagnosis diagnosis of the biopsy was lymph node metastasis of prior existed leiomyosarcoma. We report a case of a primary leiomyosarcoma occurred in a 64 year-old male patient involving the anterior maxillary region with regional lymph node metastasis with a review of literature.