• 제목/요약/키워드: Uterine Corpus

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자궁체부의 양성 및 악성 종양의 자기공명영상 소견과 감별 진단 (MRI Findings and Differential Diagnosis of Benign and Malignant Tumors of the Uterine Corpus)

  • 김지현;허숙희;신상수;정용연
    • 대한영상의학회지
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    • 제82권5호
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    • pp.1103-1123
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    • 2021
  • 자궁은 크게 자궁체부와 자궁경부로 나뉜다. 이 중 자궁내막과 자궁근층으로 이루어진 자궁체부에는 양성에서 악성 종양까지 다양한 질환이 발생한다. 비침습적인 일차적 평가로 초음파와 컴퓨터단층촬영이 있으나 비특이적인 영상 소견으로 감별이 어려운 경우가 있다. 반면 높은 해상도와 병리학적 특성 파악이 가능한 자기공명영상은 병변의 위치 확인뿐만 아니라 조직학적 특징, 그리고 악성 종양의 병기 설정에도 도움을 준다. 이 종설에서는 영상의학과 의사들이 알아야 할 자궁체부에서 볼 수 있는 다양한 양성과 악성 종양들의 특징적인 자기공명영상 소견들과 이들의 감별점에 대해 정리했다.

Laparoscopic Transabdominal Transfer of Blastocysts in Korean Black Goats

  • Cho, Sang-Cheol;Cho, Jong-Ki;Shin, Sang Tae
    • 한국수정란이식학회지
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    • 제32권2호
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    • pp.47-52
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    • 2017
  • As a part of the effort to improve post-transfer survival rate of embryos in Korean black goats, a technique for laparoscopic uterine transfer of blastocysts was carried out. A total of 26 transferrable embryos (morula to expanded blastocysts) were transferred to 13 recipient goats via transabdominal laparoscopic method. In consequence of our hormone protocol, 65% of the recipients (13/20) were found to have synchronized estrus. After confirmation of corpus luteum in each recipient goat, a Babcock laparoscopic forceps was inserted into the lower abdominal cavity to hold a uterine horn and fasten it near the peritoneum without causing injury. Then 7.5cm long 16G IV catheter was inserted directly into the uterine lumen through the abdominal wall. After removal of the stylet of the IV catheter, the embryo transfer tube (identical in size to the stylet and loaded with blastocysts) was inserted into the uterine lumen through the catheter to unload the embryos. Of the 13 estrus synchronized recipients, 9 were transferred blastocysts and 4 were transferred molurae (2 embryos in each recipient) in uterine ipsilateral to the ovary with corpus luteum. Four of the 9 recipients which blastocysts were transferred using this method has been confirmed pregnant (44.4% pregnancy rate).

젖소에서 초음파 검사를 이용한 번식장애 정밀진단에 관한 연구 (Studies on Accurate Diagnosis on Reproductive Failures of Dairy Cows by Ultrasonography)

  • 김용준;박희섭;김용수;조성우;신동수;이해이;김수희
    • 한국임상수의학회지
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    • 제23권2호
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    • pp.133-143
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    • 2006
  • Diagnosis on reproductive failures of dairy cows by ultrasonography was performed for 151 dairy cows. To diagnose types of reproductive failures, ultrasonography (SA 600, Medison, 5.0 MHz rectal linear transducer) was carried out in combination with rectal examination. Of 151 dairy cows, pregnant cows were 13 and the cows in normal estrual cycle were 40 cows, thereby the cows with reproductive failures were 98 cows. 1. Of 98 cows with reproductive failures, the cows with ovarian diseases were 34 cows (34.7%) and the cows with uterine diseases were 41 cows (41.8%). 2. The diameter of follicle in proestrus was 1.94 cm and it was longer than that of follicle in diestrus (p<0.05). 3. The mean size of corpus luteum of pregnant cows was bigger than that of corpus luteum in normal diestrus (p<0.05). 4. The length of cystic corpus luteum was 3.26 and the width of that was 1.91 cm. The length of corpus luteum tissue was 1.95 and the width of that was 1.91 cm excluding the size of cavity in corpus luteum. 5. The mean length of follicular cyst was 3.31 and the mean width of that was 2.3 cm. 6. The mean length and width of luteal cyst was 3.45 and 2.25 cm, respectively. The mean length and width of corpus luteum tissue was 1.15 and 0.67 cm, respectively, excluding the size of cyst in the luteal cyst. 7. The width of uterine horn associated with endometritis was significantly reduced as the period after parturition was elapsed (p<0.05). The mean width of uterine horn within 40 days after parturition was 4.55 cm. These results indicated that ultrasonography is of great use for accurate diagnosis both on ovarian diseases and uterine diseases and that it is very effective to diagnose endometritis in dairy cows.

Effect of uterine histotroph on embryo development in pigs

  • Han, Hye-In;Lee, Sang-Hee;Song, Eun-Ji;Lee, Seunghyung;Cheong, Hee-Tae;Yang, Boo-Keun;Park, Choon-Keun
    • 한국수정란이식학회지
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    • 제31권3호
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    • pp.199-205
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    • 2016
  • The aim of this study was to investigate the effect of uterine histotroph on embryo development and the expression of cysteine-rich protein 2 (CRP2), coatomer subunit gamma-2 (G2COP), myoglobin (MYG), vascular endothelial growth factor D (VEGFD), collagen alpha 4 chain (COL4) and galactoside 3-L-fucosyltransferase 4 (FUT4) proteins in porcine embryo during pre-implantation. Uterine histotroph (UH) was collected from uterine horn on corpus albican phase, and embryos were cultured in porcine zygote medium with UH for 168 hours. Cleavage and blastocyst formation of embryo were detected at 168 hours after in vitro fertilization. And CRP2, G2COP, MYG, VEGFD, COL4 and FUT4 proteins were observed using confocal laser microscope. In results, embryo cleavage rate was not significantly changed by UH, but blastocyst rate was significantly (P<0.05) decreased in UH-treated embryos. Moreover, CRP2, G2COP, MYG, VEGFD, COL4 and FUT4 proteins were expressed in blastomere. CRP2 in embryo was significantly overexpressed (P<0.05), but not G2COP, MYG, VEGFD, COL4 and FUT4 proteins. In summary, UH on corpus albican phase was increased CRP2 protein in embryo, and inhibited blastocyst formation in preimplantation porcine embryos, suggesting that CRP2 may play an interrupter on embryo development in pigs.

비외과적 수정란 채란을 위한 돼지의 자궁절제에 관한 연구 (Studies on the Shortening of Uteri for Nonsurgical Embryo Collection in the Pig)

  • 손동수;김일화;최창열;이광원;박태진;박창식
    • 한국수정란이식학회지
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    • 제7권2호
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    • pp.111-115
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    • 1992
  • This experiment was carried out to study the behavior of the estrus cycle in sows shortened uterine horns and to see whether the embryos could be recovered nonsurgically. The uteri of sows(n=4) were surgically shortened. It took about 3 hours to surgically remove the middle section of both uterine horns. The lengths of the shortened uterine horns were 18.7 to 29.5cm. After treatment, two sows exhibited natural estrus and the intevals from surgery to estrus were 8 days and 15 days, respectively. But the sows were not successful on synchronization and superovulation with PMSG and PGF$_2$$\alpha$. In the resurgery for confirmative examination, the sows had 6 and 7 corpus lutelin in ovaries, respectively. One sow had a small adhesion between the infundibulum and ovary, and the other sow had unilateral uterine obstruction at the sutured position and purulent materials in the uterus.

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한우 체외수정란이 이식된 수란우의 임신과 유산에 영향을 미치는 수란우 측 요인들 (Effects of Recipient Factors on the Pregnancy and Abortion after Transfer of In Vitro Produced Korean Native Cow Embryos)

  • 김소섭;박용수;박민철;박흠대;김일화;최석화
    • 한국수정란이식학회지
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    • 제20권1호
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    • pp.17-24
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    • 2005
  • 본 연구는 임상 조건하에서 수정란이식의 효율성 증대를 위하여 수란우 측면의 산차, 체점수(BCS), 발정 발현과 유도, 황체 형태, 자궁 크기 및 자궁각 위치가 체외수정란이 이식된 수란우의 임신과 유산에 미치는 효과를 검토하였다. 미경산우의 임신율$(43.5\%)$이 경산우$(33.6\%)$에 비하여 유의하게 높았으나, 유산율$(12.6\;vs.\;7.5\%)$은 유사한 경향이었다. BCS에 따른 임신율은 차이가 없었으나 유산율은 BCS 3.0 미만군$(55.6\%)$$3.0\~3.9$$(10.8\%)$에 비하여 유의하게 높았다. 수란우의 발정 발현과 유도 방법, 황체 형태, 자궁 크기 및 자궁각 위치에 따른 임신율과 유산율은 유사한 경향이었다.

Clinical and histopathologic analysis of gynecological cancer: a single institute experience over 7 years

  • Lee, Soo-Young;Kim, Eunbyeol;Kim, Hyo-Shin;Koo, Yu-Jin;Lee, Dae-Hyung
    • Journal of Yeungnam Medical Science
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    • 제37권3호
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    • pp.179-185
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    • 2020
  • Background: Approximately 100,000 women are diagnosed with cancer each year in Korea. According to a survey by the Korean central cancer registry in 2016, uterine cervical cancer, uterine corpus cancer, and ovarian cancer were the 5th, 7th, and 8th most prevalent cancers respectively among Korean women. The present study aims to review the clinico-pathologic characteristics of patients who were treated for major gynecological malignancies at Yeungnam University Medical Center. Methods: Patients with invasive gynecological cancers from January 2012 to February 2019 were retrospectively identified. We analyzed the clinical features, demographic profiles, pathologic data, treatment modality used, adjuvant treatment used, complications, recurrence, and survival outcomes. Results: A total of 287 patients (cervical cancer 115; corporal cancer 86; and ovarian, tubal, or primary peritoneal cancer 90) were included. Most cervical (82.7%) and corporal cancers (89.5%) were diagnosed in the early stages (stage I or II), while more than half (58.9%) the cases of ovarian, tubal or peritoneal cancers were diagnosed in the advanced stages (stage III or IV). Surgical complications were observed in 12.2% of cervical cancers, 16.3% of uterine corpus cancers, and 11.1% of ovarian, tubal, and peritoneal cancers, respectively. The 5-year overall survival rate was 94.1%, 91.0%, and 77.1% for cervical, corporal, and ovarian, tubal, or peritoneal cancers, respectively. Conclusion: Surgical treatment was satisfactory in terms of the incidence of complications, and survival outcomes were generally good. Clinicians should be aware of the clinical and histopathological characteristics of patients with gynecological cancers to be able to provide optimal strategies and counseling.

젖소 동결수정란의 비외과적 이식에 있어서 수정란의 상태 및 이시조건이 수태율에 미치는 영향 (Effects of stage and quality of embryo, synchrony between donor and recipient and difficulty of transfer on pregnancy rate following non-surgical transfer of frozen-thawed bovine embryos)

  • 이은송;조충호;황우석
    • 대한수의학회지
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    • 제29권3호
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    • pp.361-371
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    • 1989
  • This study was performed to investigate the effects of stage and quality of embryo, synchrony between donor and recipient and difficulty of transfer on pregnancy rate following non-surgical transfer of frozen-thawed bovine embryos. The results were as follows; 1. The overall pregnancy rate of this experiment was 63.4% and that of heifers(73.1%) was higher than that of cows(46.7%). 2. The pregnancy rates of recipients transferred with morulae, early blastocysts and blastocysts were 50.0%, 64.7% and 71. 4%, respectively. 3. The pregnancy rate of recipients transferred with good embryos(67.9%) was higher than that of recipients transferred with fair embryos(53.8%). 4. The pregnancy rates of embryos transferred to left and right uterine horn were 63.2% and 63.6%, respectively. 5. The pregnancy rate of recipients in estrous synchrony 0(76.2%) was higher than those of recipients in synchrony -1(55.6%) and +1(44.4%). 6. The pregnancy rate of recipients transferred with 2 embryos (71. 4%) was higher than that of recipients transferred with 1 embryo(61.8%). 7. The pregnancy rate of embryos transferred to uterine tip (72.0%) was higher than that of embryos transferred to uterine base(50.0%). 8. Ease of transfer was ranked to a scale of one to three on the basis of increasing difficulty. Transfers ranked as ease score 1 accounted for 77.8% of pregnancies and had higher pregnancy rate than ease score 2(66.7%) or 3(45.5%). 9. The pregnancy rate of recipients with excellent corpus luteum(CL) (70.0%) was higher than those of recipients with good CL(61.1%) or fair CL(61.5) %. In reviewing above results, it was considered that the factors such as embryo stage, embryo quality, estrous synchrony, corpus luteum quality, transfer site within uterus, recipient's parity and ease score affected the pregnancy rate after non-surgical transfer of frozen-thawed bovine embryos.

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자궁 체부에 발생한 중신 유사 선종의 영상 소견: 증례 보고 (Radiologic Findings of Mesonephric-Like Adenocarcinoma of the Uterine Corpus: A Case Report)

  • 김하정;김경아;전이경;김정우;이종미;이창희
    • 대한영상의학회지
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    • 제84권3호
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    • pp.698-704
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    • 2023
  • 중신 유사 선종은 2020년 World Health Organization 분류체계에서 자궁내막암의 한 아형으로 새롭게 분류되었고, 드물기 때문에 잘 알려지지 않은 질환이다. 저자들이 아는 한, 영어 문헌에서 영상의학적 소견은 아직 보고된 바 없다. 자궁의 중신 유사 선종은 일반적인 자궁내막암에 비해 예후가 좋지 않고 더 공격적인 생물학적 양상을 보인다. 저자들은 65세 여성의 자궁 체부에 생긴 중신 유사 선종의 영상의학적 소견에 대하여 보고하고자 한다. 자궁내막 고형 종괴가 심부 자궁근 침범을 보였고, 조영 증강은 잘되지 않았고 중등도의 확산제한을 보였다.

First report and morphological description of two Acrobeloides species(Nematoda: Rhabditida: Cephalobidae) in South Korea

  • Kim, Taeho;Lee, Yucheol;Park, Joong-Ki
    • Journal of Species Research
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    • 제10권4호
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    • pp.405-411
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    • 2021
  • The genus Acrobeloides(Cobb, 1924) Thorne, 1937 are bacterial feeders and are one of the most abundant and widely distributed nematode groups in various terrestrial environments. Based on morphological and morphometric analyses, we found two Acrobeloides species reported in Korea for the first time: A. bodenheimeri (Steiner, 1936) Thorne, 1937 and A. tricornis (Throne, 1925) Thorne, 1937. These species exhibit morphological characters concordant with typical features of the genus Acrobeloides, such as a fusiform pharyngeal corpus with swollen metacorpus and lateral incisures extending to the tail terminus. However, A. bodenheimeri is distinguished from other acrobeloids by having its low and rounded labial probolae, distinct post-uterine sac and five lateral incisures. Acrobeloides tricornis is distinguished from its congeners by the following characteristics: its high labial probolae with acuate termini, inconspicuous post-uterine sac and five lateral incisures. Morphological characters and their measurements, and illustrations of A. bodenheimeri and A. tricornis are described in this study.