토혈을 주소로 내원한 고형 가유두상 종양 1예
A Solid Pseudopapillary Tumor Presenting as Hematemesis
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초록
고형 가유두상 종양은 췌장에 발생하는 저등급의 악성종양으로 주로 모호한 복통이나 복부덩어리를 주소로 내원하다. 대부분 우연히 발견하는데 저자들은 위장관 출혈로 내원한 환자에서 위내시경 등 여러 검사를 했으나, 정확한 출혈병소를 찾지 못하였다. 우연히 췌장에 고형 가유두상 종양을 발견하여 절제하였고, 십이지장에 종양이 침범하여 형성된 궤양출혈을 확인하였다. 저자들은 토혈을 주소로 내원한 고형 가유두상 종양 1예를 경험하였기에 문헌고찰과 함께 보고한다.
Abstract
Solid pseudopapillary tumors are rare primary neoplasms of the pancreas that have a relatively favorable prognosis, with a low malignant potential. Most patients present with non-specific clinical features, such as vague abdominal discomfort and a palpable abdominal mass. A 50-year-old woman who presented with hematemesis had an incidental pancreatic cystic mass on abdominal computed tomography (CT). We performed several tests, including upper endoscopy and angiography, but we could not find the bleeding focus. Therefore, we performed a pancreaticoduodenectomy. At laparotomy, there was a 10-cm encapsulated pancreatic mass with duodenal invasion, which showed a bleeding ulcer. A solid pseudopapillary tumor was diagnosed pathologically. We report a solid pseudopapillary tumor that presented with gastrointestinal bleeding. (Korean J Med 2011;80:583-587)
참고문헌 (20)
- Franz VK, "Tumors of the pancreas. In: Atlas of tumor pathology, section VII: fascicles 27 and 28", pp.32~33 (1959), Armed Forces Institute of Pathology
- Brozzetti S, "Papillary solid and cystic pancreatic tumor: genetic prediction factors for malignancy: report of three cases", Anticancer Res, 22, pp.2341~2346 (2002)
- Buetow PC, "Solid and papillary epithelial neoplasm of the pancreas: imaging-pathologic correlation on 56 cases", Radiology, 199, pp.707~711 (1996)
- Dong PR, "Solid and papillary neoplasm of the pancreas: radiological-pathological study of five cases and review of the literature", Clin Radiol, 51, pp.702~705 (1996)
- Lichtenstein L, "Papillary cystadenocarcinoma of the pancreas", Am J Cancer, 21, pp.542~553 (1934)
- Hamoudi AB, "Papillary epithelial neoplasm of pancreas in a child: report of a case and electron microscopy", Cancer, 26, pp.1126~1133 (1970)
- Taxy JB, "Adenocarcinoma of the pancreas in childhood: report of a case and a review of the English language literature", Cancer, 37, pp.1508~1518 (1976)
- Golematis B, "Papillary cystadenocarcinoma of the pancreas", Am J Gastroenterol, 67, pp.600~603 (1977)
- Klöppel G, "Histological typing of tumors of the exocrine pancreas. 2nd ed. (WHO international histological classification of tumors)" (1996), Springer
- 강 효, "췌장 고형성 가성유두상 종양의 임상적 특징과 수술적 치료", 대한외과학회지, 68(6), pp.492~497 (2005), 대한외과학회
- 한창희, "소아 남자에게 발생한 췌두부의 고형 가유두상 종양 1예", 대한내과학회지, 72(6), pp.668~672 (2007), 대한내과학회
- Ahn DH, "Papillary cystic neoplasm of pancreas", J Korean Surg Soc, 38, pp.217~223 (1990)
- Ha WH, "Solid and papillary epithelial neoplasm of the pancreas", J Korean Surg Soc, 56, pp.403~409 (1999)
- Lam KY, "Pancreatic solid-cystic-papillary tumor: clinicopathologic features in eight patients from Hong Kong and review of the literature", World J Surg, 23, pp.1045~1050 (1999)
- Forshall I, "An unusual islet-cell tumour of the pancreas", Br J Surg, 40, pp.181~184 (1952)
- Tanaka Y, "Frequent beta-catenin mutation and cystoplasmic", nuclear accumulation in pancreatic solid-pseudopapillary neoplasm, 2001, pp.61, 8401~8504
- Abraham SC, "Solidpseudopapillary tumors of the pancreas are genetically distinct from pancreatic ductal adenocarcinomas and almost always harbor beta-catenin mutations", Am J Pathol, 160, pp.1361~1369 (2002)
- Papavramidis T, "Solid pseudopapillary tumors of the pancreas: review of 718 patients reported in English literature", J Am Coll Surg, 200, pp.965~972 (2005)
- Rebhandl W, "Solid-pseudopapillary tumor of the pancreas (Frantz tumor) in children: report of four cases and review of the literature", J Surg Oncol, 76, pp.289~296 (2001)
- Matsunou H, "Papillary-cystic neoplasm of the pancreas: a clinicopathologic study concerning the tumor aging and malignancy of nine cases", Cancer, 65, pp.283~291 (1990)