• 제목/요약/키워드: vulva

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Application of Modified Mupit for the Recurrent Vulva Cancer in Brachytherapy

  • 김종식;정천영;오동균;송기원;박영환
    • 대한방사선치료학회:학술대회논문집
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    • 대한방사선치료학회 2005년도 춘계학술대회 초록집
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    • pp.23-26
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    • 2005
  • 재발한 vulva tumor의 근접 치료에 있어서 정상조직의 장애와 tumor volume내의 dose uniformity는 치료성적에 매우 중요한 요인이다. 이를 개선하기 위하여 modified MUPIT applicator를 제작하여 modified MUPIT applicator의 적용에 대한 유용성을 평가하고자 한다. modified MUPIT applicator는 template, cylinder, interstitial needle로 구성되었으며, tumor volume을 정하기 위하여 CT를 시행하였다. CT image를 이용하여 interstitial needle의 삽입 위치를 확인하고 수술실에서 template 를 치료 부위에 고정을 시키고 cylinder를 vaginal cavity에 삽입한 후 interstitial needle을 tumor volume 내에 삽입 하였다. tumor volume내에서 interstitial needle의 정확한 위치를 확인하기 위하여 CT를 시행하였으며 orthogonal film을 이용하여 computer planning을 실시하였다. daily tumor dose는 600 cGy, BID로 3000 cGy를 조사하였으며 치료 시 rectal dose를 평가하기 위하여 TLD를 이용하여 anal verge를 기준으로 5개 지점에서 rectal dose를 측정하였다. rectal dose는 34.1 cGy, 57.1 cGy, 103.8 cGy, 162.7 cGy, 165.7 cGy로 측정되었으며 EBRT(whole pelvis RT), ICR과 overlap되는 지점은 34.1 cGy, 57.1 cGy로 매우 우수하게 평가되었다. 결론적으로 자체 제작한 modified MUPIT applicator 사용하여 interstitial brachytherapy를 시행함으로써 EBRT로 cover하기 어려운 환자의 tumor volume내에서 irregularity를 효율적으로 극복할 수 있었고 우수한 rectal dose 분포를 통하여 rectal complication의 발생 확률을 현저히 감소시킬 수 있었다.

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Characteristics of Gynecologic Oncology Patients in King Chulalongkorn Memorial Hospital - Complications and Outcome of Pelvic Exenteration

  • Oranratanaphan, Shina;Termrungruanglert, Wichai;Sirisabya, Nakarin
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권4호
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    • pp.2529-2532
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    • 2013
  • Background: Pelvic exenteration is a procedure which includes enbloc resection of pelvic organs followed by surgical reconstruction. Aims include both cure and palliation but data for pelvic exenteration in Thailand are very limited. Objective: This study was conducted to evaluate characteristics of patients, operative procedure outcomes and complications. Materials and Methods: This retrospective review covered all of the charts of exenteration patients during January 2002 to December 2011. Baseline characteristic of the patients were collected as well as details of clinical results. Results: A total of 13 cases of pelvic exenteration were included. Most underwent total pelvic exenteration (9 cases) and the remainder posterior and anterior exenteration. Their primary cancers were ovarian, cervical and vulva. Mean operative time was 532 minutes (SD 160.2, range 270-750) and estimated blood loss was 2830 ml (1850, 1000-8000). Mean tumor size was 7.33 cm (3.75, 4-15). Mean hospital stay was 35.2 days (29.8, 13-109). The most common post operative complication was urinary tract infection. Overall disease free survival with a negative surgical margin was significantly better than in positive surgical margin patients (p=0.014). Conclusions: Surgical margin was the most significant prognostic factor for disease free survival, in line with earlier studies.

산부인과 펄스형 $CO_2$ 레이저의 펄스모듈 특성에 의한 동작파형의 일정한 시스템의 구현 (Fixed system of action waveform by pulse module special quality of obstetrics and gynecology pulse style $CO_2$ laser relationship embodiment)

  • 김휘영
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2007년도 춘계학술대회 논문집 전기기기 및 에너지변환시스템부문
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    • pp.159-161
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    • 2007
  • $CO_2$ laser sees that is most suitable to get this effect through minimum formation damage and advantage that is root enemy of effect that happen in minimum cellular tissue depth of 0.1mm is stable living body organization or internal organs institution. Formation damage by ten can be related in formation's kind or energy density, length of evaporation time. If shorten evaporation time, surroundings cellular thermal damage 200 - because happen within 400ums laser beam in rain focus sacred ground surroundings cellular tissue without vitiation me by evaporation Poe of very small floor as is clean steam can. Application is possible to vulva cuticle cousins by a paternal aunt quantity, uterine cancer, cuticle tumor by laser system that $CO_2$ laser gets into standard in obstetrics and gynecology application. Because effect that super pulse output is ten enemies of laser if uniformity one pulse durations are short almost is decreased, most of all pulse module special quality of pulse style $CO_2$ laser for obstetrics and gynecology mode stabilization by weight very, in this research to get into short pulse duration and higher frequency density, do switching by high frequency in DC-DC Converter output DC's ripple high frequency to be changed, high frequency done current ripple amount of condenser for output filter greatly reduce can. Ripple of output approximately to Zero realization applying possible inductor realization through a special quality experiment do.

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First record Acrobeles ciliatus (Rhabditida) and Plectus parietinus (Plectida) from South Korea

  • Eun, Geun;Ha, Jihye;Kang, Heonil;Kim, Yongchul;Choi, Insoo;Kim, Donggeun
    • Journal of Species Research
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    • 제5권3호
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    • pp.318-323
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    • 2016
  • Acrobeles ciliatus (von Linstow, 1877) and Plectus parietinus (Bastian, 1865) are newly collected from Korea. Acrobeles is similar to those nematode belongs to Rhabditidae and Panagrolaimidae by having terminal bulb without medium bulb but different by having complex, vines shaped labial attachment. A. ciliatus differed from other Acrobeles species by lateral fields with two incisures, primary axils U-shaped, and secondary axils V-shaped. Head region set off with the neck, three high labial probolae present, each having 5 tines at inner margins and 5-7 at outer margins, and two elongate apical tines. Also, it differs from the longer female body. Plectus parietinus is distinguished from all other species of Plectus by the prominent hypodermal glands, the relatively small amphid, the distinct and well set-off lips and by the subdorsal distal caudal seta on the left side of the tail. Stoma without stylet. Oesophagus about 1/4 of total body length with terminal bulb. Anus ca. $100{\mu}m$ from posterior extremity. Vulva is at middle of body. Have spinneret on tail tip.

여성 골반에 생긴 공격성 혈관점액종의 자기공명영상: 증례 보고 (MR Imaging of Aggressive Angiomyxoma of the Female Pelvis: Case Report)

  • 김혜미;표지은;조남훈;김남규;김명진
    • Investigative Magnetic Resonance Imaging
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    • 제12권2호
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    • pp.206-210
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    • 2008
  • 공격성 혈관점액종은 여성 생식길에 주로 생기는 드문 종양으로 국소 재발율이 높다. 광범위 국소 절제술을 통해 재발 위험을 줄일 수 있기 때문에 수술 전 진단이 중요하다. 그러나, 이 종양이 드물어 오진되는 경우가 종종 있다. 우리는 수술 전 오진으로 재발한 공격성 혈관점액종 증례와 바르게 진단한 두 증례를 경험하여 보고한다.

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산부인과 펄스형 $CO_2$ 레이저의 펄스 특성에 의한 안정된 동작파형의 시스템 (System of stable action waveform by pulse special quality of obstetrics and gynecology pulse style $CO_2$ laser)

  • 김휘영
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2007년도 심포지엄 논문집 정보 및 제어부문
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    • pp.55-57
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    • 2007
  • $CO_2$ laser sees that is most suitable to get this effect through minimum formation damage and advantage that is root enemy of effect that happen in minimum cellular tissue depth of 0.1mm is stable living body organization or internal organs institution. Formation damage by ten can be related in formation's kind or energy density, length of evaporation time. If shorten evaporation time, surroundings cellular thermal damage 200 - because happen within 400ums laser beam in rain focus sacred ground surroundings cellular, tissue without vitiation me by evaporation Poe of very small floor as is clean steam can. Application is possible to vulva cuticle cousins by a paternal aunt quantity, uterine cancer, cuticle tumor by laser system that $CO_2$ laser gets into standard in obstetrics and gynecology application. Because effect that super pulse output is ten enemies of laser if uniformity one pulse durations are short almost is decreased, most of all pulse module special quality of pulse style $CO_2$ laser for obstetrics and gynecology mode stabilization by weight very, in this research to get into short pulse duration and higher frequency density, do switching by high frequency in DC-DC Converter output DC's ripple high frequency to be changed, high frequency done current ripple amount of condenser for output filter greatly reduce can. Ripple of output approximately to Zero realization applying possible inductor realization through a special quality experiment do.

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Gynaecological Cancer Mortality in Serbia, 1991-2010: A Joinpoint Regression Analysis

  • Ilic, Milena;Ilic, Irena
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권1호
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    • pp.157-162
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    • 2015
  • The descriptive epidemiological study aimed to analyse the mortality trends from gynaecological cancer in Serbia. Average annual percentage of change (AAPC) and the corresponding 95% confidence intervals (CIs) were computed for trend using joinpoint regression analysis. Nearly 25,000 gynaecological cancer deaths occurred in Serbia during the 1991-2010 period, with the average annual age-standardised mortality rate being 17.2 per 100,000 women. Increase of mortality was observed for cancer of the vulva and vagina (AAPC=+1.3%, 95% CI=0.1 to 2.6), ovarian cancer (AAPC=+0.8%, 95% CI=0.4-1.3) and for cervical cancer (AAPC=+0.7%, 95% CI=0.3 to 1.1). Mortality rates for gynaecological cancer overall declined in women aged 30-39 years, but mortality was increased in middle-aged women (for cervical cancer) and in the elderly (for ovarian cancer). Improvements to and implementation of the national cervical cancer screening programme conducted in 2013 and expected to be finalised in the following years throughout Serbia should contribute to improvement.

Concurrent Capillaria and Heterakis Infections in Zoo Rock Partridges, Alectoris graeca

  • Park, Sang-Ik;Shin, Sung-Shik
    • Parasites, Hosts and Diseases
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    • 제48권3호
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    • pp.253-257
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    • 2010
  • Two adult rock partridges raised in a city zoo were examined parasitologically and pathologically. Two distinctive eggs resembling those of Capillaria and Heterakis were detected in the feces. At necropsy, a markedly-dilated duodenum with severe catarrhal exudates, containing adult worms of Capillaria sp. and Heterakis sp. in the cecum, was observed. Male Capillaria had the cloacal aperture extended almost terminally with a small bursal lobe and an unsheathed spicule with transverse folds without spines. Female Capillaria had a vulva that was slightly prominent and slightly posterior to the union of the esophagus and intestine. The esophagus of the adult Capillaria was more than a half as long as the body in the male, but was much shorter in the female. Based on these morphological features, the capillarid nematode was identified as Capillaria obsignata. The male adult worms of Heterakis was identifiable by 2 dissimilar spicules, a unique morphological feature where the right spicule was considerably longer than the left, which is also a characteristic feature of Heterakis gallinarum. This is the first report of concurrent infections with C. obsignata and H. gallinarium in rock partridges.

진도개에서 발생한 Os clitoris와 Ovotestes를 특징으로 하는 양성자 사례 연구 (An Intersex with Os Clitoris and Ovotestes in Korean Native Jindo Dog)

  • 조성진;이현아;박상호;김옥진
    • 한국임상수의학회지
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    • 제27권1호
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    • pp.83-87
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    • 2010
  • 양성자(Hermaphroditism)는 사람과 동물에서 매우 드물게 발생단계의 이상으로 발생한다. 한국에서 개의 양성자 발생 보고는 6 사례가 있으며 그들 모두가 American Cocker Spaniel 품종이었다. 본 연구자들은 진돗개에서 발생한 양성자 사례를 발견하고 그 특징 분석과 병리조직학적 연구 및 분자생물학적 성별감별 연구를 수행하였다. 본 사례연구를 통하여 os clitoris와 ovotestes를 가지며 암컷 성을 가진 양성자 진돗개를 최초로 확인하고 보고하는 바이다.

Thoroughbred 씨암말에서 자궁파열과 연관된 대장탈출증 및 망아지의 각인 1례 (Imprinting of a foal and large intestine prolapse associated with uterine rupture in a Thoroughbred broodmare)

  • 양재혁;양영진;이용덕;김수연;김희석;강태영;황규계;임윤규
    • 대한수의학회지
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    • 제45권4호
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    • pp.587-591
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    • 2005
  • In this report, we described a case of acute colic with uterine rupture in a Thoroughbred broodmare during parturition. A 14-year-old broodmare showed acute colic characterized by rolling just after delivering of a healthy foal. Large intestine was prolapsed through vulva, contaminated with soil and its serosa was heavily damaged. We performed a euthanasia according to the owner's request. Post mortem examination revealed about 15 cm rupture on ventral side of the uterus. In addition, the orphan foal follow his owner after necropsy on his dam.