• 제목/요약/키워드: vagina

검색결과 222건 처리시간 0.02초

질의 원발성 악성 흑색종: 증례보고 (Primary Malignant Melanoma of the Vagina: A Case Report)

  • 장지영;김도강;이은희;김준상
    • Radiation Oncology Journal
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    • 제21권3호
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    • pp.245-249
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    • 2003
  • 여성의 질에 발생하는 원발성 악성 흑색종은 매우 드문 질환으로 알려져 있다. 질의 원발성 흑색종은 피부나 외음부에 발생하는 원발성 흑색종에 비해 매우 빠른 임상경과를 나타낸다. 본 증례는 58세의 폐경기 여자환자로 종양 크기가 비교적 큰 흑색종이 하부 질에 있었으며, 작은 색소침착된 병변이 자궁경부에 보였다. 환자는 수술적인 처치 없이 통상 분할 외부방사선 조사와 근접방사선 치료 만을 시행하였다 치료 후 원발병소는 부분관해를 보였으나, 진단 후 4.5개월만에 다발성 원격전이로 사망하였다. 종양크기가 큰 흑색종이 질에 발생한 경우 방사선치료 단독으로도 만족할만한 국소제어를 보였지만, 본 증례와 같이 종양의 크기가 큰 예에서는 소분할방사선 조사와 수술적인 종양제거로 국소치료기간을 단축하고, 전신적인 치료를 고려하여 조기에 발생하는 원격전이를 막기 위한 치료가 고려되어야 할 것으로 사료된다.

갱년기 여성의 질 건조증과 성만족도에 미치는 대조환(大造丸)의 임상효과 보고 (A report on the clinical efficacy of Daejo-hwan(DJH) about the dryness of vagina and sexual satisfaction in climacteric women)

  • 김의일;신용완;유동열;이정은
    • 대한한방부인과학회지
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    • 제18권3호
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    • pp.203-214
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    • 2005
  • Purpose : To assess the clinical efficacy of DJH on the dryness of vagina and difficulty in sexual intercourse in climacteric women. Methods : 7 climacteric women who are suffering from the dryness of vagina and sexual problems received DJH: 2 pills(4g) a time, three times a day for a total 8 weeks as maintenance therapy. We evaluated ultrasonography, BMD, blood test, urine analysis, female hormone test and questionnaire, Kupperman's index plus two questions about urogenital and sexual problems in before as well as after 8 weeks of treatment. Results : The results are as follows; 1. DJH reduced climacteric symptoms.(Kupperman's index from 61.4 to 30.2 points) 2. DJH was very effective to dryness of vagina and difficulty in sexual life caused by deficiency of estrogen. 3. The affirmative efficacy of DJH improved sexual satisfaction in consequence. Conclusion : The DJH showed positive effects on improving, not only the climacteric symptoms, but also the sexual satisfaction. It shows that DJH may represent a satisfactory therapeutic choice for those climacteric women with the urogenital tract disturbances and sexual problems.

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질에 발생한 원발성 비투명세포선암 -1예 보고- (Primary Non-clear-cell Adenocarcinoma of the Vagina -Report of a Case-)

  • 지미경;최영진;양기화;김병기;김선무
    • 대한세포병리학회지
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    • 제1권1호
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    • pp.103-110
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    • 1990
  • A case of primary non-clear-cell adenocarcinoma of the vagina is reported occurring in a 65-year-old woman without exposure to diethylstilbestrol (DES) in utero. The adenocarcinoma did not appear to be associated with vaginal adenosis. It lacked clear cell component and interestingly composed of columnar epithelial cells of endocervical-type. Cytologically round to oval nuclei revealed one or more small nucleoli and fine granular chromatin pattern. Cytoplasm was plump, faintly basophilic and homogeneously stained. Histologically well differentiated columnar epithelial cells were arranged on trabecular pattern mainly, and also occasional glandular lumina and small solid sheets were found. Mitoses were hardly found.

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Isolated distal vaginal hypoplasia and megalourethra in a regularly menstruating female treated by pull through procedure

  • Atef M. M. Darwish;Dina A. M. Darwish;Ahmed Dervis
    • Journal of Medicine and Life Science
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    • 제19권3호
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    • pp.121-124
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    • 2022
  • This case report describes a case of isolated (not associated with other anomalies) lower vaginal hypoplasia complicated by megalourethra (urethral dilatation) due to frequent urethral sexual intercourse in a regularly menstruating (hypomenorrheic) woman. The patient was a 24-year-old woman who underwent transperineal ultrasonography as well as magnetic resonance imaging followed by sequential cystoscopic and vaginoscopic examinations. Finally, a pull-through procedure was used to create a new vagina. The main outcome measure was patent vagina formation. The procedure successfully corrected isolated lower vaginal hypoplasia. The postoperative course was smooth, with the restoration of regular intercourse in the correct location. It was concluded that all gynecologists should have increased awareness of rare female genital anomalies to avoid serious sequelae, particularly in newly married patients.

흰쥐 발정주기와 난소절제에 따른 질상피의 glycoconjugates, estrogen receptor-α, c-fos 및 c-jun 분포변화 (Differential expression of glycoconjugates, estrogen receptor-α, c-fos and c-jun in the vagina of normal and ovariectomized rat)

  • 최병태;길영기;김강련;김순옥;최영현;이준혁
    • 생명과학회지
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    • 제12권3호
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    • pp.317-324
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    • 2002
  • 흰쥐 발정주기와 난소절제에 따른 질의 GCs, ER-$\alpha$, c-fos 및 c-jun 변화를 조직화학적 및 면역조직화학적으로 관찰하였다. 질상피는 발정사이기와 발정전기로 이어 지는 점액세포화과정에서 현저한 GCs의 양적 증가를 관찰할 수 있으며 발정사이기의 SBA, 발정전기와 발정기의 Con A와 같이 발정주기에 따른 특이적 GCs가 관찰되었다. 난소절제시에는 매우 위축된 표면층 평평세포에서만 미량의 GCs가 관찰되었다. 질에서 ER-$\alpha$, c-fos, c-jun등은 주로 핵에서 반응을 나타내는데, ER- $\alpha$는 상피세포 중 바닥층에서 주로 관찰되며, 반응세포수로 보아 발정주기에 따른 변화는 없었으나 버팀질세포에서는 발정사이기부터 발정기사이에 가장 많이 관찰되었다. c-fos는 상피의 바닥층과 중간층세포 그리고 버팀질세포에서 발정전기와 발정기사이에 가장 많이 관찰되며 c-jun은 발정기의 상피 바닥층에서 가장 많이 관찰되나 버팀질세포에서는 발정기에만 관찰되었다. 난소절제시 ER-$\alpha$, c-fos, c-jun모두 상피의 적은 세포에서만 관찰되며 버팀질 세포에서는 관찰되지 않았다. 이상의 결과로 보아 발정주기와 난소절제에 따라 특이적인 GCs분포를 보일 뿐 아니라 ER-$\alpha$, c-fos, c-jun 같은 단백질의 상이한 분포를 보여 주고 있어 이들이 질상피세포의 증식과 분화에 관여함을 알 수 있다.

랫드 자궁비대반응시험(Uterotrophic assay)을 이용한 phthalate esters의 에스트로겐성 작용 연구 (No Estrogenic Activity of Phthalate Esters in Ovariectomized Rat Uterotrophic Assay)

  • 한순영;문현주;김형식;김철규;신재호;오세동;장성재;박귀례
    • Biomolecules & Therapeutics
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    • 제8권2호
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    • pp.147-152
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    • 2000
  • The rodent uterotrophic assay is currently recommended as one of the primary in vivo assays far endocrine disrupting chemicals by the Organization for Economic Cooperation and Development (OECD) and Endocrine Disruptor Screening and Testing Advisory Committee (US EPA EDSTAC). Generally, this assay relies on the rapid increase in uterus and vagina weights when exposed to estrogenic compounds. Phthalate esters have been used extensively as a plasticizer in the manufacture of plastic products such as PVC films and medical devices. Recently, phthalate esters have been shown to induce endocrine system mediated responses. However, a flew studies have been conducted for the screening of their estrogenic activity. In this study the estrogenic activity of seven phthalate esters, butyl benzyl phthalate (BBP), di(2-ethylhexyl) phthalate (DEHP), di-n-butylphthalate (DBP), diethylphthalate (DEP), di-n-pentylphthalate (DPF), di-n-propylphthalate (DPrP) and dicyclohexylphthalate (DCHP), was examined in uterotrophic assay. Phthalate esters dissolved in corn oil were administered to ovariectomized (OVX) female Sprague-Dawley rats by sub-cutaneous injection for three consecutive days. fiats were sacrificed 24h after final treatment, and then uterus and vagina weights were deter mined. All phthalate esters tested in this assay did not change talc uterus and vagina weights at dosage levels up to 200 mg/kg/day treatment. These results demonstrated that phthalate esters did not exhibit estrogenic activity in vivo uterotrophic assay.

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대하(帶下) 치료(治療)에 대한 문헌적에 고찰 (Study of the oriental medical literature for Hysterorrhea)

  • 류동훈;유동열
    • 혜화의학회지
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    • 제13권2호
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    • pp.303-315
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    • 2004
  • 1. The acupuncture & moxibustion of hysterorrhea is focussed on bloody uterine discharge, leukorrhea and we must carefully diagnose the etiology & the machanism of disease. 2. The causes of hysterorrhea are dampness, impairment of seven emotion, irregular food intake, excessive intercourse and they are impotantly related to liver, spleen, kidney, the ren channel the chong channel 3. Using external medical treatment for Leucorrhea is washing and fumigation on vagina, to wash vagina, to insert vagina, cleansing theraphy and use with Suppository such as YONGYEOMGO(龍鹽膏), KAMISASANGJASAN(加味蛇床子散), SASANGSACHUNGSEJE(蛇床子洗劑). 4. The efficacy of medicines to use external medical treatment is as follow to helpcirculation of blood, to warm spleen and stomach, to warm blood, to warm uterus and remove cold, to remove heat and dry moisture, to down heat-product, to contract bloodvessel, to counteract poison and destory virus, to make enerey and blood.. 5. The diagnosis is grossly divided into the flowing downward of damp-heat, the weaknessof the qi of the spleen, dificiency of yuan of the kidney and according to the each diagnosis we should select adquate points representing the treatment of cooling(zhongji, yinlingquan, xingjian, etc), desiccation, heiping qi(qihai, zusanli, sanyinjiao, etc), tonificating yang (guanyuan, mingmen, shinshu, etc). 6. The moxibustion is the warming the lower jiao and eliminating the cold, the points are the mingmen point, the zhongji point, the guanyuan point, etc 7. Besides the acupuncture & moxibustion of hysterorrhea, we can make use of acusetor, ear acupuncture, endermosis, dong shi shen fa.

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자아의 내부 생식기내 수정란에 관한 연구 (Studies on the Fertilized Eggs in the Internal Reproductive Organ of the Silkworm Female Moth (Bombyx mori L.))

  • 윤종관;사기언
    • 한국잠사곤충학회지
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    • 제13권2호
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    • pp.119-122
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    • 1971
  • 체내 유존난중에 월년난 고유색으로 착색된 것의 유무와 교미를 필한 잠아를 직시처리구와 약간 산란후 처리구로 구분하여 산란공을 가열한 해부침으로 처리하여 산란을 임의 중절한 다음 일주간을 방치한 후 이를 해부하여 음도 수란관 및 난관기부에 있는 잠란을 각각 채취하여 그 수정여부를 조사 연구한바 다음과 같은 결과를 얻었다. 1. 공시아중 불과 5% 내외가 각각 1∼2개의 착색란을 보유하고 있을 뿐더러(Table 1.) 그 착색양상도 월년난고유 색채가 아니고 난관내 잠란의 일반적인 색채와 약간의 차이가 있는 일종의 이상 착색난에 지나지 않는다. 2. 교미 직후 직시처리구에서는 음도에 잠란이 유입되어 있지 않다. 3. 약간 산란후 처리구에서는 공시아수의 약 10%에 해당하는 잠아가 음도 또는 수란관에 1개식의 수정란을 보유하고 있다. 4. 교미 직후 처리구에서는 수란관에 공시아의 약 2%에 해당하는 잠아가 일개식의 수정란을 보유하고 있다. 5. 난관에는 전혀 수정란을 발견할 수 없다. 이는 정자가 난관에 까지 진출하지 못하는 것으로 인정하는 것이 타당할 것이다. 6. 교미직후 직시처리구에서는 대부분 잠난이 난관에 위치하고 있지만 약간 산란후 처리구에서는 산란으로 인하여 잠란의 산란공으로 향한 이동운동이 계속되어 수란관과 음도에 진출되어 있다. 7. 정자는 주로 수정양을 비롯한 음도 근처에 있으면서 이곳을 통과하여 산란공에 향하는 잠란에 부착하므로서 난문을 통하여 난문에 진입하는 것으로 믿어진다.

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홍등탕(紅藤湯)이 LPS 질내(膣內) 주입(注入) 생쥐에 미치는 항염증(抗炎症)효과 (Anti-inflammatory Effects of Hongdeung-Tang on Mice with LPS Injected in Vagina)

  • 서지영;김윤상;윤정문;이태희;임은미
    • 대한한방부인과학회지
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    • 제18권1호
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    • pp.81-93
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    • 2005
  • Purpose : There are various oriental medicine therapy of treating Pelvic Inflammatory Disease(PID) in clinics. We made the PID mice model by injection Lipopolysaccharide (LPS) in vagina, and investigate anti-inflammatory effects of Hongdeung-Tang among oral medication, retention enema therapy and herbal-acupuncture treatment. Method : The ICR(20-30g) mice(♀) were used. To examine the occurrence of inflammation, LPS in different concentration was injected into the vagina of the mice, and White Blood Cell(WBC) in blood was counted. To examine anti-inflammatory effects, 6 mice were assigned to each of the normal group, the control group and the sample group. Hongdeung-Tang was medicated in oral and rectal with 1.0g/kg low dose and 3.0g/kg high dose and by herbal acupucture for 5 days, 2 days before LPS injection. After 3days from LPS injection, blood was collected from retro-orbital plexus, and WBC, Interleukin-6(IL-6), Tumor Necrosis Factor-${\alpha}$(TNF-${\alpha}$) in the blood was counted. Result : After LPS injection with each dose, WBC count showed significant increase depending on LPS concentration from $100{\mu}g/kg$, and it was maximized at 3 or 4 days after LPS injection. the Hongdeung-Tang treatment groups, The number of WBC was decreased significantly only in low dose and high dose oral medication, and IL-6 concentration showed significant decrease in oral and rectal medication as well as in herbal acupuncture treatment. TNF-${\alpha}$ concentration was decreased significantly in oral and rectal medication of low dose and high dose. herbal-acupuncture treatment group datas showed reductive tendency. Conclusion : Based on above results, we made the PID mice model by injection LPS in vagina, and demonstrated anti-inflammatory effect of Hongdeung-Tang of oral medication, retention enema therapy and herbal-acupuncture treatment.

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