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Obstetrics & Gynecology Science

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https://www.readbyqxmd.com/read/29185544/erratum-author-correction
#1
Young-Jae Lee, Yong-Man Kim, Hyun Jin Kim, Sung Wook Choi, Shin-Wha Lee, Jeong-Yeol Park, Dae-Yeon Kim, Dae-Shik Suh, Jong-Hyeok Kim, Young-Tak Kim, Joo-Hyun Nam
[This corrects the article on p. 433 in vol. 60, PMID: 28989919.].
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29184874/persistent-low-level-elevation-of-serum-human-chorionic-gonadotropin-after-termination-of-pregnancy-a-rare-case-of-peritoneal-trophoblastic-implant
#2
Hye Won Seo, Min Jin Jeong, Jung Namkung, Chan Joo Kim, Ji Young Kwon
Peritoneal trophoblastic implant can occur after treatment of ectopic pregnancy. Similarly, after termination of intrauterine pregnancy, trophoblastic implants are rare but can be a complication of perforation during dilatation and curettage. We report an extremely rare case of trophoblastic implant on the myometrium, ovarian surface, and peritoneal wall 4 months after uncomplicated dilatation and curettage. To the best of our knowledge, this is the first case of peritoneal trophoblastic implant following dilatation and curettage without uterine perforation...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29184873/two-cases-of-hymenal-scars-occurred-by-child-rape
#3
Ji Eun Kim, Young Ran Cho, Bo Eun Choi, Sang Han Lee, Taek Hoo Lee
Children who have been raped some years back may have hymenal scars. However, medical professionals are not accustomed in assessing these scars because of the lack of experience in performing physical examinations of the external genitalia of children who suffered from rape some years back. Moreover, the importance of physical examination of the victim's external genitalia is sometimes overlooked. Two cases of rape victims with hymenal scars who visited Daegu Child Sexual Abuse Response Center several years after their first sexual abuse along with a literature review are presented here...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29184872/laparoscopic-total-extraperitoneal-hernia-repair-of-fallopian-tube-indirect-inguinal-hernia-in-reproductive-aged-woman-a-case-report
#4
Yong Hee Park, Eun Jung Jung, Jung Mi Byun, Min Sung An, Young Nam Kim, Kyung Bok Lee, Moon Su Sung, Ki Tae Kim, Eun Taeg Kim, Chul Hoi Jeong, Dae Hoon Jeong
An indirect inguinal hernia containing the fallopian tube alone is extremely rare in reproductive-aged women without any genital tract anomalies. Despite this rarity, early diagnosis and adequate management is important to prevent strangulation and recurrence. We present a case of an indirect inguinal hernia containing only the fallopian tube in the hernia sac, which was successfully reduced by using a laparoscopic total extraperitoneal approach and repaired with a polypropylene mesh.
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29184871/peptide-yy-producing-strumal-carcinoid-tumor-of-the-ovary-in-a-postmenopausal-woman-a-rare-cause-of-chronic-constipation
#5
Hye Kyung Noh, Byung Su Kwon, Yoon Hwa Kim, Nam Kyung Lee, Kyung Un Choi, Dong Soo Suh, Dong Hyung Lee, Ki Hyung Kim
Strumal carcinoid tumor of the ovary is a rare subtype of ovarian carcinoid tumors; it is characterized by an intimate mixture of thyroid and carcinoid tissues. We present a case of a 64-year-old woman who presented with the chief complaint of persistent, severe constipation for over 5 years; she was later found to have an ovarian strumal carcinoid tumor. Computed tomography showed a well-defined solid mass measuring 6.4 cm at the right adnexa. The patient underwent right salpingo-oophorectomy and was histopathologically diagnosed as having a strumal carcinoid tumor...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29184870/a-retroperitoneal-dedifferentiated-liposarcoma-mimicking-an-ovarian-tumor
#6
Hyojin Kim, Taewon Jeong, Yeongho Lee, Gyeonga Kim, Sanggi Hong, Sukyung Beck, Jeongbeom Mun, Kyongjin Kim, Myeongjin Ju
A 74-year-old postmenopausal woman visited our gynecology clinic complaining of a palpable abdominal mass. Physical and radiological evaluation indicated that the mass exhibited features of a left ovarian neoplasm showing heterogeneous enhancement. Surgical resection was performed to confirm this suspicion. During surgery, a mass was observed only in the left ovary with no invasive growth, but adhesions to the surrounding peritoneum were seen. Given the patient's age, large mass size, and accompanying uterine myoma and right ovarian cyst, total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29184869/skin-metastases-in-ovarian-clear-cell-adenocarcinoma-a-case-report-and-a-review-of-the-literature
#7
Gina Nam, Young-Mee Lim, Min Sun Cho, Junghye Lee, Yun Hwan Kim
Epithelial ovarian carcinoma is a high mortality neoplasm in gynecologic malignancy. It usually can metastasize to distant organs such as pleura, liver, lung, and lymph nodes. However, the skin metastases are not common and related to very poor prognosis. Here we report a 54-year-old patient with ovarian clear cell carcinoma with skin metastases on the anterior chest at 11 months after initial diagnosis. Although she received palliative chemotherapy, she expired due to disease progression 2 months later after the diagnosis of skin metastases...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29184868/long-term-recurrence-free-survival-of-a-patient-with-advanced-pure-primary-ovarian-squamous-cell-carcinoma-treated-with-dose-dense-paclitaxel-combined-with-carboplatin
#8
Hiroyuki Yazawa, Tsuyoshi Hiraiwa, Fumihiro Ito, Keiya Fujimori
We describe an extremely rare case of advanced pure primary ovarian squamous cell carcinoma (SCC), treated by adjuvant chemotherapy with dose-dense paclitaxel combined with carboplatin (dd-TC) plus the combination chemotherapy with irinotecan and cisplatin (CPT-P), with long-term recurrence-free survival. A 71-year-old woman complaining of lower abdominal pain was referred to our hospital and a 7-cm-diameter solid tumor was identified. She was diagnosed with a left ovarian tumor that was highly suspicious for malignancy based on ultrasonography, magnetic resonance imaging, and contrast-enhanced computed tomography...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29184867/comorbidity-of-gynecological-and-non-gynecological-diseases-with-adenomyosis-and-endometriosis
#9
Eun Ji Choi, Seong Beom Cho, Sa Ra Lee, Young Mi Lim, Kyungah Jeong, Hye-Sung Moon, Hyewon Chung
Objective: Adenomyosis and endometriosis are relatively common gynecological diseases that exhibit many common features. This study identified gynecological and non-gynecological diseases that exhibited comorbidity with adenomyosis and endometriosis in Korean women. Methods: We used Health Insurance Review and Assessment data from 2009 to 2011 and searched for adenomyosis and endometriosis (coded as N80.1 and D25 in International Classification of Disease, 10th revision [ICD-10], respectively)...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29184866/therapeutic-outcomes-of-methotrexate-injection-in-unruptured-interstitial-pregnancy
#10
Myung Joo Kim, Jae-Ho Cha, Hyo Sook Bae, Mi Kyoung Kim, Mi-La Kim, Bo Sung Yun, You Shin Kim, Seok Ju Seong, Yong Wook Jung
Objective: To examine the therapeutic outcomes of methotrexate (MTX) in the treatment of unruptured interstitial pregnancy. Methods: We reviewed the medical records of patients who were diagnosed with interstitial pregnancy and received MTX as first-line treatment between January 2003 and July 2014 at CHA Gangnam Medical Center. The treatment success rates and subsequent pregnancy outcomes were examined. Results: Ninety-seven patients were diagnosed with interstitial pregnancy between January 2003 and July 2014...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29184865/etiological-evaluation-of-repeated-biochemical-pregnancy-in-infertile-couples-who-have-undergone-in-vitro-fertilization
#11
Hyun-Mi Lee, Hwa Jeong Lee, Kwang Moon Yang, Sun Hwa Cha, Hyun Kyong Ahn, Young Joo Kim
Objective: This study aims to investigate whether there are any notable etiologies for repeated biochemical pregnancy (RBP) and, if so, to compare those etiologies associated with repeated spontaneous abortion in infertile couples who have undergone in vitro fertilization (IVF). Methods: Forty-four infertile couples who underwent IVF and experienced RBP were included in this study. RBP was defined as more than 2 early pregnancy losses that occurred before the detection of a gestational sac, with ectopic pregnancies specifically excluded by serial serum beta human chorionic gonadotropin evaluation...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29184864/prognostic-value-of-preoperative-lymphocyte-monocyte-ratio-in-elderly-patients-with-advanced-epithelial-ovarian-cancer
#12
Byung Su Kwon, Hyun Joo Lee, Juseok Yang, Yong Jung Song, Dong Soo Suh, Dong Hyung Lee, Ki Hyung Kim
Objective: To investigate the prognostic significance of preoperative lymphocyte-monocyte ratio (LMR) in elderly patients with advanced epithelial ovarian cancer (EOC) receiving primary cytoreductive surgery and adjuvant platinum-based chemotherapy. Methods: A total of 42 elderly patients (≥65 years) diagnosed with EOC who are receiving primary cytoreductive surgery and adjuvant platinum-based chemotherapy from 2009 to 2012 was included. LMR was calculated from complete blood cell count sampled before operation...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29184863/a-retrospective-comparison-of-outcome-in-ib2-and-iia-cervical-cancer-patients-treated-with-primary-concurrent-chemoradiation-versus-radical-hysterectomy-with-or-without-tailored-adjuvant-therapy
#13
Tae-Kyu Jang, So-Jin Shin, Hyewon Chung, Sang-Hoon Kwon, Soon-Do Cha, Eunbi Lee, Changmin Shin, Chi-Heum Cho
Objective: The aim of our study is to compare the overall survival (OS), progression-free survival (PFS), and treatment-related morbidities between primary concurrent chemoradiation therapy (CCRT) vs. radical hysterectomy (RH) with or without tailored adjuvant therapy in patients with stages IB2 and IIA cervical cancer. Methods: This was a retrospective study of 113 patients with IB2 or IIA cervical cancer treated with either primary CCRT (n=49) or RH (n=64) with or without tailored adjuvant therapy between 2002 and 2011 at Keimyung University Dongsan Medical Center...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29184862/the-clinical-significance-of-d-dimer-concentrations-in-patients-with-gestational-hypertensive-disorders-according-to-the-severity
#14
Se Jeong Kim, Hyo Jeong Ahn, Jung Yeon Park, Byoung Jae Kim, Kyu Ri Hwang, Taek Sang Lee, Hye Won Jeon, Sun Min Kim
Objective: Pregnancy is a major risk factor of thromboembolism, and the patients with preeclampsia (PE) are known to have higher risk of thromboembolic complications than normal pregnant women. D-dimer is a well-established laboratory marker for the screening of venous thromboembolism (VTE), but the concentrations of d-dimer tend to increase physiologically in pregnant women throughout the gestational age. We performed this study to evaluate the clinical significance of d-dimer concentrations in patients with gestational hypertensive disorders (GHD) according to the severity...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29184861/efficacy-and-safety-of-venous-thromboembolism-prophylaxis-with-fondaparinux-in-women-at-risk-after-cesarean-section
#15
Ryuji Kawaguchi, Shoji Haruta, Hiroshi Kobayashi
Objectives: Cesarean section is associated with an increased risk for venous thromboembolism (VTE). The safety and efficacy of primary prophylaxis of fondaparinux, a synthetic sulfated pentasaccharide heparin analog, in women at risk after cesarean section is uncertain. Methods: This was a retrospective study of 295 cases of pregnant women presenting to a tertiary referral center of Nara, Japan, to evaluate the usefulness of thromboprophylaxis with fondaparinux after cesarean delivery between 2011 and 2012...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29184860/safety-of-umbilical-cord-milking-in-very-preterm-neonates-a-randomized-controlled-study
#16
Soo-Youn Song, Youjin Kim, Byung-Hun Kang, Heon-Jong Yoo, Mina Lee
Objective: To investigate the safety of umbilical cord milking on both the mother and neonate among very preterm deliveries of less than 33 weeks of gestation. Methods: Pregnant women who were expected to deliver at between 24 0/7 and 32 6/7 weeks of gestation were randomized to either the umbilical cord milking or immediate cord clamping group. Maternal and neonatal data associated with delivery, in addition to neonatal morbidity and mortality data, were collected and analyzed...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29184859/risk-factors-for-massive-postpartum-bleeding-in-pregnancies-in-which-incomplete-placenta-previa-are-located-on-the-posterior-uterine-wall
#17
Hyun Jung Lee, Young Jai Lee, Eun Hee Ahn, Hyeon Chul Kim, Sang Hee Jung, Sung Woon Chang, Ji Yeon Lee
Objective: To identify factors associated with massive postpartum bleeding in pregnancies complicated by incomplete placenta previa located on the posterior uterine wall. Methods: A retrospective case-control study was performed. We identified 210 healthy singleton pregnancies with incomplete placenta previa located on the posterior uterine wall, who underwent elective or emergency cesarean section after 24 weeks of gestation between January 2006 and April 2016...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29184858/what-is-fetal-programming-a-lifetime-health-is-under-the-control-of-in-utero-health
#18
REVIEW
Eun Jin Kwon, Young Ju Kim
The "Barker hypothesis" postulates that a number of organ structures and associated functions undergo programming during embryonic and fetal life, which determines the set point of physiological and metabolic responses that carry into adulthood. Hence, any stimulus or insult at a critical period of embryonic and fetal development can result in developmental adaptations that produce permanent structural, physiological and metabolic changes, thereby predisposing an individual to cardiovascular, metabolic and endocrine disease in adult life...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29184857/vacuum-extraction-vaginal-delivery-current-trend-and-safety
#19
REVIEW
Jihan Jeon, Sunghun Na
Operative vaginal birth retains an important role in current obstetric practice. However, there is an increasing trend in the rate of cesarean section in Korea. Surgical delivery is more advantageous than cesarean section, but the rate of operative vaginal delivery is decreasing for various reasons. Furthermore, there is no unified technique for vacuum extraction delivery. In this context, this review was performed to provide details of the necessary conditions, techniques, benefits, and risks of operative vaginal delivery...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/28989930/a-case-report-of-angioleiomyoma-of-uterus
#20
Jeong-A Hong, Gyeong-Eun Heo, Jeong Ja Kwak, Soo-Ho Chung
Angioleiomyoma (AL) is a very rare benign tumor that originates from smooth muscle cells and has thick walled vessels. It may be found throughout the body but more frequently occurs in the lower extremities and rarely develops in the head and other parts of the body. This paper presents a case report of giant AL detected in a 33-year-old woman who complained of severe anemia, menorrhagia, and palpable lower abdominal mass. The patient underwent myomectomy and was diagnosed with AL based on the pathological report of mass...
September 2017: Obstetrics & Gynecology Science
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