소장의 종양은 매우 드물게 발생하며 그중 선암의 빈도가 가장 많고, 그 외에 악성흑색종, 유암종, 림프종, 육종 등이 주로 확인되었다. 원발부위가 자궁경부인 소장의 편평세포 암 전이는 소장종양 중에서도 매우 드물며 자궁경부암의 소장 단독전이는 현재까지 한국에서 1예가 보고되었다. 본 저자들은 매우 드문 증례인 자궁경부암의 십이지장 전이와 이에 대한 고찰을 보고하는 바이다.
Canine pyometra generally occurs in intact female dogs of more than four years of age. However, in rarely cases, pyometra can occur in young bitches. In the present report, two cases of pyometra in thirteen and eighteen months of age were presented. In both cases, absent of vaginal discharge represented that both patients had closed-cervix pyometra and diagnosis was somewhat complicated. In complete blood count, elevated level of leukocyte with left shift was found in both cases. Serum chemistry analysis showed elevation of alkaline phosphatase in both cases. Additionally, mild elevation of aspartate transferase and total protein were also found in case. Radiographic and ultrasonographic findings show the enlargement of uterus and accumulation of fluid contents inside the uterine lumen. Ovariohysterectomy followed by antibiotics and anti-inflammatory drugs for post-surgery medication was performed for treatment. After a week, both patients fully recovered. To reduce mortality of pyometra in young intact female dogs, radiography or ultrasonography should be indicated immediately in the bitches showing severe infectious inflammation.
Manchester system 타입의 장착기중 상, 하부에 차폐체가 장착되어 있는 Henschke 장착기를 이용하여 자궁암 근접치료시 자궁 및 주변장기의 선량분포를 평가하기 위하여 치료계획수립에 사용되는 실용프로그램 결과와 몬테칼로 모의계산 결과를 비교하였다. 또한 자궁 및 주변 정상조직이 받은 선량을 계산하기 위해 ORNL(Oak Ridge National Laboratory)에서 수립한 여성의 MIRD (Medical Internal Radiati
We compared the results of early follow-up of F-18 FDG PET/CT and MRI performed within one month after radiation therapy for cervix cancer patients. We conducted a retrospective review of the clinical data of cervix cancer patients whose PET/CT and pelvic MRI performed at staging and within one month from the end of RTx. SUVmax on PET/CT and size on MRI of the primary tumor were analyzed. We compared %change of SUVmax and size between staging and follow-up. A total of 27 patients were enrolled. At staging, larger tumor showed high SUVmax. At follow-up, no significant correlation was observed between size and SUVmax. In 77.8% of patients, changes in SUVmax were well correlated with changes in size. No correlation was observed between % change and value at staging in both SUVmax and size. Except for six patients who showed significant FDG uptake without evidence of a mass on MRI, % changes of size and SUVmax were well correlated. Metabolic change can be accessible on early follow-up PET/CT at±1 month from the end of the RTx of cervix cancer. However, careful interpretation of PET/CT is needed due to possible radiation-induced hypermetabolism even without a definite mass on MRI.