메뉴 건너뛰기




Volumn 15, Issue 3, 1996, Pages 222-229

Mullerian adenosarcoma of the uterine corpus associated with tamoxifen therapy: A report of six cases and a review of tamoxifen-associated endometrial lesions

Author keywords

Adenosarcoma; Estrogen; Tamoxifen; Uterus

Indexed keywords

CONJUGATED ESTROGEN; MEDROXYPROGESTERONE ACETATE; TAMOXIFEN;

EID: 0029969963     PISSN: 02771691     EISSN: None     Source Type: Journal    
DOI: 10.1097/00004347-199607000-00006     Document Type: Article
Times cited : (110)

References (59)
  • 1
    • 0023719255 scopus 로고
    • Tamoxifen as risk factor for carcinoma of corpus uteri
    • Hardell L. Tamoxifen as risk factor for carcinoma of corpus uteri [Letter]. Lancet 1988;2:563.
    • (1988) Lancet , vol.2 , pp. 563
    • Hardell, L.1
  • 2
    • 0024546736 scopus 로고
    • Adjuvant tamoxifen in early breast cancer: Occurrence of new primary cancers
    • Fornander T, Rutqvist LE, Cedermark B, et al. Adjuvant tamoxifen in early breast cancer: occurrence of new primary cancers. Lancet 1989;1:117-20.
    • (1989) Lancet , vol.1 , pp. 117-120
    • Fornander, T.1    Rutqvist, L.E.2    Cedermark, B.3
  • 5
    • 0024561852 scopus 로고
    • Tamoxifen and the uterus and endometrium
    • Stewart HJ, Knight GM. Tamoxifen and the uterus and endometrium [Letter]. Lancet 1989;1:375-6.
    • (1989) Lancet , vol.1 , pp. 375-376
    • Stewart, H.J.1    Knight, G.M.2
  • 6
    • 0025311914 scopus 로고
    • Four case reports presenting new acquisitions on the association between breast and endometrial carcinoma
    • Atlante G, Pozzi M, Vincenzoni C, Vocaturo G. Four case reports presenting new acquisitions on the association between breast and endometrial carcinoma. Gynecol Oncol 1990;37:378-80.
    • (1990) Gynecol Oncol , vol.37 , pp. 378-380
    • Atlante, G.1    Pozzi, M.2    Vincenzoni, C.3    Vocaturo, G.4
  • 7
    • 0025010808 scopus 로고
    • Tamoxifen-associated endometrial carcinoma in postmenopausal breast cancer patients
    • Malfetano JH. Tamoxifen-associated endometrial carcinoma in postmenopausal breast cancer patients. Gynecol Oncol 1990;39:82-4.
    • (1990) Gynecol Oncol , vol.39 , pp. 82-84
    • Malfetano, J.H.1
  • 9
    • 0025886813 scopus 로고
    • Incidence of new primary cancers after adjuvant tamoxifen therapy and radiotherapy for early breast cancer
    • Andersson M, Storm HH, Mouridsen HT. Incidence of new primary cancers after adjuvant tamoxifen therapy and radiotherapy for early breast cancer. JNCI 1991;83:1013-7.
    • (1991) JNCI , vol.83 , pp. 1013-1017
    • Andersson, M.1    Storm, H.H.2    Mouridsen, H.T.3
  • 11
    • 8044254219 scopus 로고
    • Tamoxifen therapy and endometrial neoplasia
    • Deligdisch L, Cohen CJ, Dottino P. Tamoxifen therapy and endometrial neoplasia [Abstract]. Eur J Cancer 1991;27 (suppl 2):127.
    • (1991) Eur J Cancer , vol.27 , Issue.2 SUPPL. , pp. 127
    • Deligdisch, L.1    Cohen, C.J.2    Dottino, P.3
  • 12
  • 13
    • 0025999009 scopus 로고
    • Oncogenic potential of tamoxifen on endometria of postmenopausal women with breast cancer - Preliminary report
    • Gal D, Kopel S, Bashevkin M, Lebowicz J, Lev R, Tancer ML. Oncogenic potential of tamoxifen on endometria of postmenopausal women with breast cancer - preliminary report. Gynecol Oncol 1991;42:120-3.
    • (1991) Gynecol Oncol , vol.42 , pp. 120-123
    • Gal, D.1    Kopel, S.2    Bashevkin, M.3    Lebowicz, J.4    Lev, R.5    Tancer, M.L.6
  • 15
    • 0026571258 scopus 로고
    • Postmenopausal bleeding from unusual endometrial polyps in women on chronic tamoxifen therapy
    • Corley D, Rowe J, Curtis MT, Hogan WM, Noumoff JS, LiVolsi VA. Postmenopausal bleeding from unusual endometrial polyps in women on chronic tamoxifen therapy. Obstet Gynecol 1992;79:111-6.
    • (1992) Obstet Gynecol , vol.79 , pp. 111-116
    • Corley, D.1    Rowe, J.2    Curtis, M.T.3    Hogan, W.M.4    Noumoff, J.S.5    LiVolsi, V.A.6
  • 16
    • 0026759809 scopus 로고
    • An unusual type of endometrial cancer, related to tamoxifen?
    • Deprest J, Neven P, Ide P. An unusual type of endometrial cancer, related to tamoxifen? Eur J Obstet Gynecol Reprod Biol 1992;46:147-50.
    • (1992) Eur J Obstet Gynecol Reprod Biol , vol.46 , pp. 147-150
    • Deprest, J.1    Neven, P.2    Ide, P.3
  • 18
    • 0026766517 scopus 로고
    • Gynecologic complications associated with long-term adjuvant tamoxifen therapy for breast cancer
    • Wolf DM, Jordan VC. Gynecologic complications associated with long-term adjuvant tamoxifen therapy for breast cancer. Gynecol Oncol 1992;45:118-28.
    • (1992) Gynecol Oncol , vol.45 , pp. 118-128
    • Wolf, D.M.1    Jordan, V.C.2
  • 19
    • 0027263114 scopus 로고
    • Endometrial changes in postmenopausal women treated with tamoxifen for breast cancer
    • Cohen I, Rosen DJD, Shapira J, et al. Endometrial changes in postmenopausal women treated with tamoxifen for breast cancer. Br J Obstet Gynaecol 1993;100:567-70.
    • (1993) Br J Obstet Gynaecol , vol.100 , pp. 567-570
    • Cohen, I.1    Rosen, D.J.D.2    Shapira, J.3
  • 20
    • 0027362482 scopus 로고
    • Descriptive clinicopathologic study of 17 patients with endometrial cancer during or after adjuvant tamoxifen in early breast cancer
    • Fornander T, Hellstrom A, Moberger B. Descriptive clinicopathologic study of 17 patients with endometrial cancer during or after adjuvant tamoxifen in early breast cancer. JNCI 1993;85:1850-5.
    • (1993) JNCI , vol.85 , pp. 1850-1855
    • Fornander, T.1    Hellstrom, A.2    Moberger, B.3
  • 22
    • 0027412216 scopus 로고
    • High-grade endometrial carcinoma in tamoxifen-treated breast cancer patients
    • Magriples U, Naftolin F, Schwartz PR, Carcangiu ML. High-grade endometrial carcinoma in tamoxifen-treated breast cancer patients. J Clin Oncol 1993;11:485-90.
    • (1993) J Clin Oncol , vol.11 , pp. 485-490
    • Magriples, U.1    Naftolin, F.2    Schwartz, P.R.3    Carcangiu, M.L.4
  • 23
    • 0027293895 scopus 로고
    • Gynecologic tumors in tamoxifen-treated women with breast cancer
    • Seoud MA, Johnson J, Weed JC Jr. Gynecologic tumors in tamoxifen-treated women with breast cancer. Obstet Gynecol 1993;82:165-9.
    • (1993) Obstet Gynecol , vol.82 , pp. 165-169
    • Seoud, M.A.1    Johnson, J.2    Weed Jr., J.C.3
  • 24
    • 0027415296 scopus 로고
    • Tamoxifen induced adenomyosis and adenomyomatous endometrial polyp
    • Ugwumadu AHN, Bower D, Ho PK. Tamoxifen induced adenomyosis and adenomyomatous endometrial polyp. Br J Obstet Gynaecol 1993;100:386-92.
    • (1993) Br J Obstet Gynaecol , vol.100 , pp. 386-392
    • Ugwumadu, A.H.N.1    Bower, D.2    Ho, P.K.3
  • 25
    • 0028020104 scopus 로고
    • Tamoxifen use in breast cancer patients who subsequently develop corpus cancer is not associated with a higher incidence of adverse histologic features
    • Barakat RR, Wong G, Curtin JP, Vlamis V, Hoskins WJ. Tamoxifen use in breast cancer patients who subsequently develop corpus cancer is not associated with a higher incidence of adverse histologic features. Gynecol Oncol 1994;55:164-8.
    • (1994) Gynecol Oncol , vol.55 , pp. 164-168
    • Barakat, R.R.1    Wong, G.2    Curtin, J.P.3    Vlamis, V.4    Hoskins, W.J.5
  • 26
    • 0028023956 scopus 로고
    • Iatrogenic endometrial megapolyps in women with breast carcinoma
    • Berezowsky J, Chalvardjian A, Murray D. Iatrogenic endometrial megapolyps in women with breast carcinoma. Obstet Gynecol 1994;84:727-30.
    • (1994) Obstet Gynecol , vol.84 , pp. 727-730
    • Berezowsky, J.1    Chalvardjian, A.2    Murray, D.3
  • 27
    • 0028158119 scopus 로고
    • Endometrial changes with tamoxifen: Comparison between tamoxifen-treated and nontreated asymptomatic, postmenopausal breast cancer patients
    • Cohen I, Rosen DJD, Shapira J, et al. Endometrial changes with tamoxifen: comparison between tamoxifen-treated and nontreated asymptomatic, postmenopausal breast cancer patients. Gynecol Oncol 1994;52:185-90.
    • (1994) Gynecol Oncol , vol.52 , pp. 185-190
    • Cohen, I.1    Rosen, D.J.D.2    Shapira, J.3
  • 28
    • 0028116094 scopus 로고
    • Continuous tamoxifen treatment in asymptomatic, postmenopausal breast cancer patients does not cause aggravation of endometrial pathologies
    • Cohen I, Tepper R, Rosen DJD, et al. Continuous tamoxifen treatment in asymptomatic, postmenopausal breast cancer patients does not cause aggravation of endometrial pathologies. Gynecol Oncol 1994;55:138-43.
    • (1994) Gynecol Oncol , vol.55 , pp. 138-143
    • Cohen, I.1    Tepper, R.2    Rosen, D.J.D.3
  • 29
    • 0028208456 scopus 로고
    • Endometrial cancer in tamoxifen-treated breast cancer patients: Findings from the National Surgical Adjuvant Breast and Bowel Project (NSABP) B-14
    • Fisher B, Costantino JP, Redmond CK, et al. Endometrial cancer in tamoxifen-treated breast cancer patients: findings from the National Surgical Adjuvant Breast and Bowel Project (NSABP) B-14. JNCI 1994;86:527-37.
    • (1994) JNCI , vol.86 , pp. 527-537
    • Fisher, B.1    Costantino, J.P.2    Redmond, C.K.3
  • 30
    • 0028127164 scopus 로고
    • Tamoxifen and endometrial cancer: New challenges for an "old" drug
    • Ingle JN. Tamoxifen and endometrial cancer: new challenges for an "old" drug. Gynecol Oncol 1994;55:161-3.
    • (1994) Gynecol Oncol , vol.55 , pp. 161-163
    • Ingle, J.N.1
  • 31
    • 0028656449 scopus 로고
    • Pathology of endometrium treated with tamoxifen
    • Ismail SM. Pathology of endometrium treated with tamoxifen. J Clin Pathol 1994;47:827-33.
    • (1994) J Clin Pathol , vol.47 , pp. 827-833
    • Ismail, S.M.1
  • 32
    • 0028287647 scopus 로고
    • Effects of tamoxifen on uterus and ovaries of postmenopausal women in a randomized breast cancer prevention trial
    • Kedar RP, Bourne TH, Powles TJ, et al. Effects of tamoxifen on uterus and ovaries of postmenopausal women in a randomized breast cancer prevention trial. Lancet 1994;343:1318-21.
    • (1994) Lancet , vol.343 , pp. 1318-1321
    • Kedar, R.P.1    Bourne, T.H.2    Powles, T.J.3
  • 33
    • 0028289811 scopus 로고
    • DNA-content in endometrial carcinoma of tamoxifen-treated breast cancer patients
    • Moberger B, Fornander T, Hellstrom A-C. DNA-content in endometrial carcinoma of tamoxifen-treated breast cancer patients. Int J Gynecol Cancer 1994;4:131-4.
    • (1994) Int J Gynecol Cancer , vol.4 , pp. 131-134
    • Moberger, B.1    Fornander, T.2    Hellstrom, A.-C.3
  • 34
    • 0028303190 scopus 로고
    • Malignant neoplasms of the uterine corpus in patients with breast carcinoma: The effects of tamoxifen
    • Suva EG, Tornos CS, Follen-Mitchell M. Malignant neoplasms of the uterine corpus in patients with breast carcinoma: the effects of tamoxifen. Int J Gynecol Oncol 1994;248-58.
    • (1994) Int J Gynecol Oncol , pp. 248-258
    • Suva, E.G.1    Tornos, C.S.2    Follen-Mitchell, M.3
  • 36
    • 0028053224 scopus 로고
    • Risk of endometrial cancer after tamoxifen treatment of breast cancer
    • van Leeuwen FE, Benraadt J, Coebergh JWW, et al. Risk of endometrial cancer after tamoxifen treatment of breast cancer. Lancet 1994;343:448-52.
    • (1994) Lancet , vol.343 , pp. 448-452
    • Van Leeuwen, F.E.1    Benraadt, J.2    Coebergh, J.W.W.3
  • 37
    • 9244231748 scopus 로고    scopus 로고
    • Time-dependent effect of tamoxifen therapy on endometrial pathologies in asymptomatic postmenopausal breast cancer patients
    • Cohen I, Altaras MM, Shapira J, et al. Time-dependent effect of tamoxifen therapy on endometrial pathologies in asymptomatic postmenopausal breast cancer patients. Int J Gynecol Pathol 1996;15:152-7.
    • (1996) Int J Gynecol Pathol , vol.15 , pp. 152-157
    • Cohen, I.1    Altaras, M.M.2    Shapira, J.3
  • 38
    • 0028834071 scopus 로고
    • Mucinous and clear cell adenocarcinomas of the endometrium in patients receiving antiestrogens (tamoxifen) and gestagens
    • Dallenbach-Hellweg G, Hahn U. Mucinous and clear cell adenocarcinomas of the endometrium in patients receiving antiestrogens (tamoxifen) and gestagens. Int J Gynecol Pathol 1995;14:7-15.
    • (1995) Int J Gynecol Pathol , vol.14 , pp. 7-15
    • Dallenbach-Hellweg, G.1    Hahn, U.2
  • 39
    • 0029051567 scopus 로고
    • Secretory endometrial adenocarcinoma in a patient on tamoxifen for breast cancer: A report of a case
    • Folk JJ, Mazur MT, Eddy GL, Musa AG. Secretory endometrial adenocarcinoma in a patient on tamoxifen for breast cancer: a report of a case. Gynecol Oncol 1995;58:133-5.
    • (1995) Gynecol Oncol , vol.58 , pp. 133-135
    • Folk, J.J.1    Mazur, M.T.2    Eddy, G.L.3    Musa, A.G.4
  • 40
    • 0028793795 scopus 로고
    • A retrospective study of tamoxifen and endometrial cancer in breast cancer patients
    • Robinson DC, Bloss JD, Schiano MA. A retrospective study of tamoxifen and endometrial cancer in breast cancer patients. Gynecol Oncol 1995;59:186-90.
    • (1995) Gynecol Oncol , vol.59 , pp. 186-190
    • Robinson, D.C.1    Bloss, J.D.2    Schiano, M.A.3
  • 41
    • 0026501170 scopus 로고
    • Uterine mullerian adenosarcoma following adenomyoma in a woman on tamoxifen therapy
    • Bocklage T, Lee KR, Belinson JL. Uterine mullerian adenosarcoma following adenomyoma in a woman on tamoxifen therapy. Gynecol Oncol 1992;44:104-9.
    • (1992) Gynecol Oncol , vol.44 , pp. 104-109
    • Bocklage, T.1    Lee, K.R.2    Belinson, J.L.3
  • 42
    • 0025267174 scopus 로고
    • Mullerian adenosarcoma of the uterus. A clinicopathological analysis of 100 cases with a review of the literature
    • Clement PB, Scully RE. Mullerian adenosarcoma of the uterus. A clinicopathological analysis of 100 cases with a review of the literature. Hum Pathol 1990;21:363-81.
    • (1990) Hum Pathol , vol.21 , pp. 363-381
    • Clement, P.B.1    Scully, R.E.2
  • 43
    • 0029049957 scopus 로고
    • Adenomyosis in postmenopausal breast cancer patients treated with tamoxifen: A new entity?
    • Cohen I, Beyth Y, Tepper R, et al. Adenomyosis in postmenopausal breast cancer patients treated with tamoxifen: a new entity? Gynecol Oncol 1995;58:86-91.
    • (1995) Gynecol Oncol , vol.58 , pp. 86-91
    • Cohen, I.1    Beyth, Y.2    Tepper, R.3
  • 45
    • 8944255167 scopus 로고
    • The effect of prolonged tamoxifen administration on the endomterium and ovaries of women with breast cancer
    • Mor-Yosef S, Shushan A, Uziely B, Lewin A, Peretz T. The effect of prolonged tamoxifen administration on the endomterium and ovaries of women with breast cancer [Abstract]. Int J Gynecol Cancer 1995;5(suppl 1):23.
    • (1995) Int J Gynecol Cancer , vol.5 , Issue.1 SUPPL. , pp. 23
    • Mor-Yosef, S.1    Shushan, A.2    Uziely, B.3    Lewin, A.4    Peretz, T.5
  • 46
    • 0027207776 scopus 로고
    • Role of prolonged stimulation of tamoxifen therapy in the etiology of endometrial sarcomas
    • Altaras MM, Aviram R, Cohen I, Cordoba M, Yarkoni S, Beyth Y. Role of prolonged stimulation of tamoxifen therapy in the etiology of endometrial sarcomas. Gynecol Oncol 1993;49:255-8.
    • (1993) Gynecol Oncol , vol.49 , pp. 255-258
    • Altaras, M.M.1    Aviram, R.2    Cohen, I.3    Cordoba, M.4    Yarkoni, S.5    Beyth, Y.6
  • 47
    • 0027716863 scopus 로고
    • Uterine malignant mixed mullerian tumor in a patient on long-term tamoxifen therapy for breast cancer
    • Clarke MR. Uterine malignant mixed mullerian tumor in a patient on long-term tamoxifen therapy for breast cancer. Gynecol Oncol 1993;51:311-415.
    • (1993) Gynecol Oncol , vol.51 , pp. 311-415
    • Clarke, M.R.1
  • 48
    • 0029072454 scopus 로고
    • Is there as association between long-term tamoxifen treatment and the development of carcinosarcoma (malignant mixed mullerian tumor) of the uterus?
    • Evans MJ, Langlois NEI, Kitchener HC, Miller ID. Is there as association between long-term tamoxifen treatment and the development of carcinosarcoma (malignant mixed mullerian tumor) of the uterus? Int J Gynecol Cancer 1995;5:310-3.
    • (1995) Int J Gynecol Cancer , vol.5 , pp. 310-313
    • Evans, M.J.1    Langlois, N.E.I.2    Kitchener, H.C.3    Miller, I.D.4
  • 49
    • 0028986396 scopus 로고
    • Endometrial mullerian carcinosarcoma after cessation of tamoxifen therapy for breast cancer
    • Sasco AJ, Raffi F, Satge D, Goburdhun J, Fallouh B, Leduc B. Endometrial mullerian carcinosarcoma after cessation of tamoxifen therapy for breast cancer. Int J Gynecol Obstet 1995;48:307-10.
    • (1995) Int J Gynecol Obstet , vol.48 , pp. 307-310
    • Sasco, A.J.1    Raffi, F.2    Satge, D.3    Goburdhun, J.4    Fallouh, B.5    Leduc, B.6
  • 50
    • 0029113060 scopus 로고
    • Leiomyosarcoma of the uterus in a women taking adjuvant tamoxifen therapy
    • Gillett D. Leiomyosarcoma of the uterus in a women taking adjuvant tamoxifen therapy [Letter]. Med J Aust 1995;163:160-1.
    • (1995) Med J Aust , vol.163 , pp. 160-161
    • Gillett, D.1
  • 51
    • 0029065353 scopus 로고
    • Uterine stromal sarcoma following tamoxifen treatment
    • Beer TW, Buchanan R, Buckley CH. Uterine stromal sarcoma following tamoxifen treatment [Letter]. J Clin Pathol 1995;48:596.
    • (1995) J Clin Pathol , vol.48 , pp. 596
    • Beer, T.W.1    Buchanan, R.2    Buckley, C.H.3
  • 52
    • 0021835548 scopus 로고
    • Endometrial "sarcomas" complicating ovarian thecoma, polycystic overian disease and estrogen therapy
    • Press MF, Scully RE. Endometrial "sarcomas" complicating ovarian thecoma, polycystic overian disease and estrogen therapy. Gynecol Oncol 1985;21:135-54.
    • (1985) Gynecol Oncol , vol.21 , pp. 135-154
    • Press, M.F.1    Scully, R.E.2
  • 53
    • 0025160004 scopus 로고
    • Role of prolonged excessive estrogen stimulation in the pathogenesis of endometrial sarcomas: Two cases and a review of the literature
    • Altaras MM, Jaffe R, Cohen I, Gruber A, Yanai-lnbar I, Bernheim J. Role of prolonged excessive estrogen stimulation in the pathogenesis of endometrial sarcomas: two cases and a review of the literature. Gynecol Oncol 1990;38:273-7.
    • (1990) Gynecol Oncol , vol.38 , pp. 273-277
    • Altaras, M.M.1    Jaffe, R.2    Cohen, I.3    Gruber, A.4    Yanai-lnbar, I.5    Bernheim, J.6
  • 54
    • 0023230337 scopus 로고
    • Atypical polypoid adenomyoma of the uterus associated with Turner's syndrome. A report of three cases, including a review of "estrogen-associated" endometrial neoplasms and neoplasms associated with Turner's syndrome
    • Clement PB, Young RH. Atypical polypoid adenomyoma of the uterus associated with Turner's syndrome. A report of three cases, including a review of "estrogen-associated" endometrial neoplasms and neoplasms associated with Turner's syndrome. Int J Gynecol Pathol 1987;6:104-13.
    • (1987) Int J Gynecol Pathol , vol.6 , pp. 104-113
    • Clement, P.B.1    Young, R.H.2
  • 55
    • 0021262430 scopus 로고
    • An immunocytochemical method for demonstrating estrogen receptor in human uterus using monoclonal antibodies to human estrophilin
    • Press ME, Greene GL. An immunocytochemical method for demonstrating estrogen receptor in human uterus using monoclonal antibodies to human estrophilin. Lab Invest 1984;50:480-6.
    • (1984) Lab Invest , vol.50 , pp. 480-486
    • Press, M.E.1    Greene, G.L.2
  • 56
    • 0021720672 scopus 로고
    • Immunocytochemical assessment of estrogen receptor distribution in the human endometrium throughout the menstrual cycle
    • Press ME, Nousek-Goebl N, King WJ, Herbst AL, Greene GL. Immunocytochemical assessment of estrogen receptor distribution in the human endometrium throughout the menstrual cycle. Lab Invest 1984;51:495-503.
    • (1984) Lab Invest , vol.51 , pp. 495-503
    • Press, M.E.1    Nousek-Goebl, N.2    King, W.J.3    Herbst, A.L.4    Greene, G.L.5
  • 58
    • 0026594152 scopus 로고
    • Steroid hormone receptors in endometrial stromal sarcomas. A biochemical and immunohistochemical study
    • Sabini G, Chumas JC, Mann WJ. Steroid hormone receptors in endometrial stromal sarcomas. A biochemical and immunohistochemical study. Am J Clin Pathol 1992;97:381-6.
    • (1992) Am J Clin Pathol , vol.97 , pp. 381-386
    • Sabini, G.1    Chumas, J.C.2    Mann, W.J.3
  • 59
    • 0020642638 scopus 로고
    • Malignant mixed mullerian tumor of the endometrium in a young woman with polycystic ovaries
    • Chumas JC, Mann WJ, Tseng L. Malignant mixed mullerian tumor of the endometrium in a young woman with polycystic ovaries. Cancer 1983;52:1478-81.
    • (1983) Cancer , vol.52 , pp. 1478-1481
    • Chumas, J.C.1    Mann, W.J.2    Tseng, L.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.