• 제목/요약/키워드: Neuroendocrine tumor

검색결과 107건 처리시간 0.03초

흉선의 신경내분비 종양 (Thymic Neuroendocrine Tumor)

  • 이응배;이상철;박태인;조준용;장봉현;이종태;김규태
    • Journal of Chest Surgery
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    • 제35권4호
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    • pp.325-328
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    • 2002
  • 신경내분비 종양은 매우 드문 흉선 종양으로, Kultschizky 세포에서 유래하는 것으로 흉선종과는 다른 것으로 생각된다. 흥선 신경내분비 종양의 병리학적 진단은 광학 현미경 검사, 면역조직화학 염색 및 전자현미경의 소견을 바탕으로 한다. 흥선 유암종의 약 50%에서 내분비 질환을 가지며, 재발과 흉곽외 전이가 특징적이다. 초발 종양이나 재발의 경우에 외과적 절제가 가장 효과적이라고 생각되나, 항암치료나 방사선 치료의 역할은 분명하지 않다. 최근 외과적 절제가 시행된 흉선 신경내분비 종양을 경험하였기에 여기에 보고한다.

직장 유암종 질병 분류 코드 변경과 임상적 의의 (Update of Korean Standard Classification of Diseases for Rectal Carcinoid and Its Clinical Implication)

  • 김은수
    • Journal of Digestive Cancer Reports
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    • 제9권2호
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    • pp.57-59
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    • 2021
  • Carcinoid tumor is called as neuroendocrine tumor and is classified into neuroendocrine tumor Grade 1, neuroendocrine tumor Grade 2, and neuroendocrine carcinoma based on the differentiation of tumors. Recently, the incidence of rectal carcinoid tumor has been increasing probably due to the increased interest on screening colonoscopy and the advancement of endoscopic imaging technology. As the rectal carcinoid shows a wide range of clinical characteristics such as metastasis and long-term prognosis depending on the size and histologic features, it is a challenge to give a consistent diagnostic code in patients with the rectal carcinoid. If the rectal carcinoid tumor is less than 1 cm in size, it can be given as the code of definite malignancy or the code of uncertain malignant potential according to International Classification of Diseases for Oncology (ICD-O) by World Health Organization (WHO). Because patients get different amount of benefit from the insurance company based on different diagnostic codes, this inconsistent coding system has caused a significant confusion in the clinical practice. In 2019, WHO updated ICD-O and Statistics Korea subsequently changed Korean Standard Classification of Diseases (KCD) including the code of rectal carcinoid tumors. This review will summarize what has been changed in recent ICD-O and KCD system regarding the rectal carcinoid tumor and surmise its clinical implication.

15세 여아에서 발생한 췌장의 비기능성 신경내분비종양 - 1예 보고 - (Nonfunctioning Neuroendocrine Tumor of the Pancreas in a 15-year-old Girl - a Case Report -)

  • 이경근;박진영
    • Advances in pediatric surgery
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    • 제15권2호
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    • pp.180-185
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    • 2009
  • We report a case of nonfunctioning neuroendocrine tumor of the pancreas in a 15-year-old girl who presented with back pain. On physical examination, there was mild tenderness in the left upper quadrant of the abdomen. The patient had no pancreatic hormone-associated symptoms. An abdominal ultrasonography showed a well-demarcated hypervascular solid mass with calcification in the tail of the pancreas. An abdominal computed tomography scan showed a $6{\times}5cm$ sized well-encapsulated enhancing solid mass with cystic component in the tail of the pancreas. Distal pancreatectomy was performed. Pathology revealed awelldifferentiated nonfunctioning low grade malignant neuroendocrine tumor of the pancreas. The postoperative course was uneventful.

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Development of radiolabeled somatostatin derivatives for neuroendocrine tumors

  • Hee-Kwon Kim
    • 대한방사성의약품학회지
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    • 제7권2호
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    • pp.127-131
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    • 2021
  • Neuroendocrine tumor is one of popular diseases, and somatostatin receptor antagonists have been considered as promising agents for neuroendocrine tumors. Imaging of somatostatin receptor is useful approach on the diagnosis and therapy of neuroendocrine tumors. Thus, several radiolabeled somatostatin derivatives have been developed by scientists, and used for patients with neuroendocrine tumors. In particular, some radiopharmaceuticals for neuroendocrine tumors were approved by FDA. In this highlight review, the development of important radiolabeled somatostatin derivatives is described.

하인두에 발생한 신경내분비성 소세포암종 1예 (A Case of Neuroendocrine Small Cell Carcinoma Arising from the Hypopharynx)

  • 고윤우;이종대;변장열;이재용
    • 대한두경부종양학회지
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    • 제20권2호
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    • pp.198-201
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    • 2004
  • Neuroendocrine carcinomas are rare neoplasms of the hypopharynx. Neuroendocrine neoplasms are divided into four main types : carcinoid, atypical carcinoid, small cell carcinoma and paraganglioma. The diagnosis is primarily based on light microscopy and should be confirmed by immunohistochemical investigation. Small cell neuroendocrine carcinoma of the hypopharynx is extremely uncommon tumor and surgical results for this tumor have been disappointing. Chemotherapy and radiotherapy currently appear the most effective forms of therapy. We report our case of small cell neuroendocrine carcinoma of the hypopharynx with the brief review of literatures.

16세 남아에서 발생한 췌장의 비기능성 악성 신경내분비 종양: 증례 보고 (Non-Functioning, Malignant Pancreatic Neuroendocrine Tumor in a 16-Year-old Boy: A Case Report)

  • 임세웅;이영환;최시성;조현선
    • Investigative Magnetic Resonance Imaging
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    • 제14권2호
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    • pp.145-150
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    • 2010
  • 소아에서 췌장의 악성 종양은 매우 드물게 발생하고 있으며, 특히 악성 신경내분비 종양은 더더욱 드물다. 저자들은 16세 소아 환자에서 발생한 비기능성 악성 신경내분비 종양의 증례를 경험하여 CT와 MRI 소견을 보고하고자 한다. 췌장 두부에서 발생한 고형 종양으로 조영증강 MRI의 문맥기에서 지연기로 갈수록 조영증강이 잘 되고, 주변의 혈관 침습, 총담관 폐색, 림프절병증 등 악성 소견을 동반할 때 췌장의 비기능성 악성 신경내분비 종양을 감별 진단에 포함하여야 한다.

Composite Neuroendocrine Carcinoma with Adenocarcinoma of the Stomach Misdiagnosed as a Giant Submucosal Tumor

  • Kim, Tae-Yoon;Chae, Hyun-Dong
    • Journal of Gastric Cancer
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    • 제11권2호
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    • pp.126-130
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    • 2011
  • A composite glandular/exocrine-endocrine carcinoma of the gastrointestinal tract is characterized by the co-existence of two adjacent, but histologically-distinct tumors in an organ. Composite glandular/exocrine-endocrine carcinomas are a special type of tumor comprised of common adenocarcinomas and neuroendocrine components that account for at least one-third of the entire tumor area. Composite tumors have been reported in a range of organs, but are relatively rare in the stomach. We report a case of a composite neuroendocrine carcinoma with an adenocarcinoma of the stomach (mixed exocrine-endocrine carcinoma), which was misdiagnosed as a giant submucosal tumor preoperatively based on esophagogastroduodenoscopy and a contrast-enhanced axial computed tomographic scan.

MRI Findings of an Ampulla of Vater Neuroendocrine Tumor with Liver and Lymph Node Metastasis: a Case Report

  • Noh, Jung Hyun;Park, Mi Hyun;Choi, Seung Kyu
    • Investigative Magnetic Resonance Imaging
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    • 제22권2호
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    • pp.123-130
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    • 2018
  • An ampulla of Vater neuroendocrine tumor (AOV-NET) is a rare subset of gastroenteropancreatic neuroendocrine tumors (GEP-NETs). Very few studies have been undertaken regarding MRI findings of an AOV-NET. We report on a case of a 59-year-old woman diagnosed with an AOV-NET with liver and lymph node metastasis, with an emphasis on the MRI findings. This case shows rare and precious typical MRI findings of an AOV-NET. The MRI visualized the AOV-NET very well and is helpful for the differentiation of an AOV-NET from other tumors in the ampullary area as well as with treatment planning.

자궁 경부의 선암과 혼합된 신경내분비 소세포 암종 - 1 증례 보고 - (Composite Tumor of Adenocarcinoma and Small Cell Neuroendocrine Carcinoma of the Uterine Cervix -A Case Report-)

  • 박혜림;이용우;박영의
    • 대한세포병리학회지
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    • 제1권1호
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    • pp.111-120
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    • 1990
  • Small cell neuroendocrine carcinoma of the uterine cervix is a distinct subtype of cervical cancer that appears analogous to oat cell carcinoma and carcinoid tumors of the lung. It has been assumed to be derived from the neural crest via argyrophilic cells in the normal endocervix. We have recently encountered a case of small cell neuroendocrine carcinoma of the uterine cervix coexisting with adenocarcinoma which was argyrophil negative. A 66-year-old multiparous woman was admitted because of vaginal bleeding for 2 months. Cervicovaginal smear revealed several scattered clusters and sheets of monotonous small cells with some peripheral palisading in the background of hemorrhage and necrosis. Radical hysterectomy specimen revealed an ulcerofungating tumor on endocervical canal which was composed of two components. Major component of the tumor was made up of monomorphic population of small oval-shaped tumor cells arranged in sheets and partly in acinar structures or trabecular fashion. Other component was adenocarcinoma, endocervical well-differentiated type. Argyrophilia was present on the Grimelius stain and immunohistochemical studies revealed diffuse positivity to neuron-specific enolase and carcinoembryonic antigen. Electron microscopic examination showed clusters of small round to oval cells, which had a few well-formed desmosomes and several membrane-bound, dense-core neurosectetory granules.

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대세포 신경내분비암 -1례 보고- (Large Cell Neuroendocrine Carcinoma of the Lung -A Case Report-)

  • 김영진;김범경
    • Journal of Chest Surgery
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    • 제35권4호
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    • pp.311-314
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    • 2002
  • 간헐적 우측 흉부 동통을 호소하는 48세 남자 환자로 단순 흉부 방사선 촬영상 우측 중폐야에 거대 종괴가 관찰되어 우측 쌍폐엽 절제술 후 대세포 신경 내분비 암으로 진단되어진 1예를 치험 하였기에 문헌 고찰과 함께 보고하는 바이다.