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원발성 난관 육종 1예 Primary Sarcoma of the Fallopian Tube

부산의대잡지 1973년 13권 2호 p.1 ~ 4
서상석,
소속 상세정보
서상석 (  ) 
부산대학교 의과대학 병리학교실

Abstract

1) 한쪽 부신을 적출한 토끼에 있어서는 혈청 ceruloplasmin 농도는 감소하였다.
2) 정상한 토끼에 cortisone을 투여하였을 때는 혈청 ceruloplasmin 농도는 증가하였다.
3) cortisone과 epinephrine은 한쪽 부신적출로 인한 혈청 ceruloplasmin 농도의 저하를 억제하는 효과가 있었다.
4) Progesterone과 testosterone의 한쪽 부신 적출 토끼에 대한 혈청 ceruloplasmin 농도의 증가성 효과는 정상한 토끼에 대한 이런 효과보다도 약하였다.
저자는 위의 요약을 기반으로 하여 부신은 혈청 ceruloplasmin 조절에 있어서 중요한 역할을 할 것이라고 시사하였다.
A biopsy case of primary sarcoma arising from the right fallopian tube was reported in view of rarity of this kind of tumor, and a review of literatures related to this case was presented. A 55-year-old Korean woman was admitted to Busan Sanatorium & Hospital on Sept. 5, 1973, because of low abdo­minal pain and intermittent genital bleedings.
On admission, the patient was chronically ill and slightly anemic. An adult-fist sized mass in the right adnexal region was palpated in bimanual examination. The mass was non-movable and firm in consist­ency. An exploratory laparotomy was performed. This disclosed markedly distended right fallopian tube and small atrophic uterus. A probable diagnosis of hematosalpinx or tuberculous salpingitis was sad and the right fallopian tube was removed.
Grossly, the fallopian tube submitted was markedly distended, and it´s external surface was smooth, but occasionally mottled with dark-reddish discolorations. On opening, the dilated lumen was filled with a tumor mass, which was an infant-fist in size and partially adherent to the wall. The external surface of the mass was irregular, occasionally showing papillary pattern. On cut surface, the tissue was firm and friable and revealed fibrillary appearance with areas of hemorrhage and necrosis. The mass was confirmed a fibromyxosarcoma in hematoxylin-eosin, Masson´ s trichrome and alcian blue-PAS stains.

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