소아 남자에게 발생한 췌두부의 고형 가유두상 종양 1예
A case of a solid pseudopapillary tumor in a male child
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고형 가유두상 종양은 주로 젊은 여성에서 췌미부 또는 체부에 위치하며, 주변 조직의 침습, 국소림프절 침범, 원격 전이는 매우 드문 악성종양이다. 소아에서의 발생은 드물며 전 세계적으로 약 40예가 보고되었고, 국내에서의 보고는 없다. 복부 전산화 단층촬영 및 초음파내시경 검사로 12세 소아남자의 췌두부에 위치한 고형 가유두상 종양을 진단하였고, 진단 및 치료를 위해 개복술을 시행하였다. 조직병리검사 소견에서 췌두부에 위치한 고형 가유두상 종양을 확진하였다. 저자는 12세 소아남자에서 발생한 췌두부의 고형 가유두상 종양을 문헌고찰과 함께 보고하는 바이다.
Abstract
A solid pseudopapillary tumor is usually located on the pancreatic tail or body, mainly in young females. It is benign in nature and is rarely associated with local invasion, lymph node involvement or distant metastasis. A solid pseudopapillary tumor in children is extremely rare and there are only 40 reports worldwide with no domestic cases reported at all. An abdominal CT and endoscopic ultrasonography revealed a pancreatic head mass in a 12-year-old male child. An exploratory laparotomy was performed for accurate diagnosis and treatment. The tumor was pathologically diagnosed as a solid pseudopapillary tumor. We present here a case of a solid pseudopapillary tumor that was diagnosed in a 12-year-old male child, with a review of the literature.(Korean J Med 72:668-672, 2007)
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