Clinical Endoscopy

  • 제42권6호
  • /
  • Pages.415-418
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  • 2011
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  • 2234-2400(pISSN)
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  • 2234-2443(eISSN)
대한소화기내시경학회 (The Korean Society of Gastrointestinal Endoscopy)
권호 표지

십이지장 유두부에 발생한 선편평 상피암종 1예

A Case of Adenosquamous Carcinoma of the Ampulla of Vater

  • 김홍준 (울산대학교 의과대학 서울아산병원 소화기내과학교실) ;
  • 이성구 (울산대학교 의과대학 서울아산병원 소화기내과학교실) ;
  • 장지웅 (울산대학교 의과대학 서울아산병원 소화기내과학교실) ;
  • 류충헌 (울산대학교 의과대학 서울아산병원 소화기내과학교실) ;
  • 박도현 (울산대학교 의과대학 서울아산병원 소화기내과학교실) ;
  • 이상수 (울산대학교 의과대학 서울아산병원 소화기내과학교실) ;
  • 서동완 (울산대학교 의과대학 서울아산병원 소화기내과학교실) ;
  • 김명환 (울산대학교 의과대학 서울아산병원 소화기내과학교실)
  • Kim, Hong-Jun (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Sung-Koo (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jang, Ji-Woong (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Ryu, Choong-Heon (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Do-Hyun (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Sang-Soo (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Seo, Dong-Wan (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Myung-Hwan (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • 발행 : 2011.06.30
⟨ 이전 논문 다음 논문 ⟩

초록

56세 남자가 복부 불편감과 식욕저하를 주소로 내원하였다. 전산화 단층촬영에서 원위담도 부위에 종괴를 의심하였고 십이지장내시경에서 십이지장 유두부의 종괴를 관찰하였다. 수술 후 선편평 상피암종으로 진단하였고 경과 관찰 중 18개월 후 시행한 복부 전산화 단층촬영에서 전이성 림프절을 관찰하였다. 십이지장 유두부에 발생하는 선편평 상피암종은 매우 드문 질환으로 저자들은 1예를 경험하여 문헌고찰과 함께 보고한다.

Primary adenosquamous carcinoma arising from the papilla of Vater is an extremely rare tumor. Here we report a case of adenosquamous carcinoma of the duodenal major papilla. The patient was a 56-year-old man presenting with abdominal discomfort and anorexia. A computed tomography (CT) scan showed dilatation of the common bile duct (CBD) and both intrahepatic ducts with a suspicious mass in the distal CBD. Duodenoscopy revealed a mass with an irregular surface at the papilla. The patient underwent Whipple's operation. He was diagnosed as having adenosquamous carcinoma of the papilla of Vater. Eighteen months after pancreaticoduodenectomy, metastatic lymph nodes were noted in a follow-up CT scan.

키워드

참고문헌

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