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담도선섬유종에서 발생한 담관암: 증례 보고 및 문헌적 고찰

A Case Report of Cholangiocarcinoma Arising from a Biliary Adenofibroma: Radiologic Findings and Review of Literature

  • 임현지 (서울의료원 영상의학과) ;
  • 박미숙 (연세대학교 의과대학 세브란스병원 영상의학과) ;
  • 박영년 (연세대학교 의과대학 세브란스병원 진단병리과) ;
  • 김선일 (연세대학교 의과대학 세브란스병원 진단병리과) ;
  • 김여은 (서울의료원 영상의학과) ;
  • 황청훈 (연세대학교 의과대학 세브란스병원 영상의학과)
  • Hyun-Ji Lim (Department of Radiology, Seoul Medical Center) ;
  • Mi-Suk Park (Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine) ;
  • Young Nyun Park (Department of Pathology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine) ;
  • Sun Il Kim (Department of Pathology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine) ;
  • Yeo-Eun Kim (Department of Radiology, Seoul Medical Center) ;
  • Cheong Hoon Hwang (Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine)
  • 투고 : 2020.03.13
  • 심사 : 2020.08.10
  • 발행 : 2021.05.01

초록

담도선섬유종은 매우 드문 담도상피성 종양으로서 양성 종양으로 분류된다. 그럼에도 불구하고, 담도선섬유종으로부터 악성 종양이 발생했다는 몇 개의 증례가 보고되어 왔다. 하지만 담도선섬유종과 그로부터 발생한 악성 신생물에 대한 영상의학적 소견은 잘 알려져 있지 않다. 우리는 담도선섬유종에서 발생한 담관암의 증례를 초음파, 컴퓨터단층촬영, 자기공명영상 사진과 함께 설명하고, 이와 감별할 질환들의 영상의학적 소견을 고찰하고자 한다.

Biliary adenofibromas are rare biliary epithelial tumors that are classified as benign. Nevertheless, some cases have been reported to show malignant transformations. The radiologic findings of biliary adenofibromas and their malignant transformation are not well-established because of their rarity. We present a case of a cholangiocarcinoma arising from a biliary adenofibroma assessed using ultrasonography, CT, and MRI. The differential diagnoses include other hepatic tumors.

키워드

참고문헌

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