Jee-Hyun Park

Squamous cell carcinoma arising in an ovarian mature cystic teratoma complicating pregnancy

Mature cystic teratomas of the ovary (MCT) are usually observed in women of reproductive age with the most dreadful complication being malignant transformation which occurs in approximately 1% to 3% of MCTs. In this case report, we present a patient with squamous cell carcinoma which developed from a MCT during pregnancy. The patient was treated conservatively without adjuvant chemotherapy and was followed without evidence of disease for more than 60 months using conventional tools as well as positron emission tomography-computed tomography following the initial surgery. We report this case along with the review of literature.

The Correlation of cervical intraepithelial neoplasia 3 detected by cervical punch biopsies with the pathologic results of conization and hysterectomy

349 THE CORRELATION OF CERVICAL INTRAEPITHELIAL NEOPLASIA 3 DETECTED BY CERVICAL PUNCH BIOPSIES WITH THE PATHOLOGIC RESULTS OF CONIZATION AND HYSTERECTOMY Ki-Won Kim, MD, Kyoung-Mi Kim, MD, Jung-Woo Park, MD, Hyun-Jae Jung, MD, Jee-Young Han, MD, Joon-Mee Kim, MD, Jee-Hyun Park, MD, Sung-Ook Hwang, MD, Woo-Young Lee, MD, Eunseop Song, MD Departments of Obstetrics and Gynecology, Pathology, Inha University College of Medicine, Incheon, Korea

Ovarian cancer with initial symptom of pulmonary embolism: A case report

Venous thromboembolism often occurs after major surgery and may occur as a consequence of underlying cancer. A 39-year-old woman presented to the emergency room with chief complaints of dyspnea and right chest pain. Chest computed tomography (CT) revealed pulmonary artery thromboembolism of the left lobe and a massive right pleural effusion. D-dimer level was 40.4 μg/mL. Abdomino-pelvic CT revealed a 15×12×14 cm solid and cystic mass in the pelvic cavity, suggesting ovarian cancer. A pleural biopsy found metastatic adenocarcinoma. She underwent cytoreductive surgery and pathologic findings revealed malignant mullerian mixed tumor of ovary. The hypercoagulable state in patients with ovarian cancer may occur as an initial symptom of pulmonary embolism. It is unresponsive to standard anticoagulation therapy. The hypercoagulable state in patient with ovarian cancer may be stopped by cytoreductive surgery of the malignancy.

Four risk of malignancy indices in evaluation of pelvic masses

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