간에서 발생한 표피양낭 1예
A case of epidermoid cyst of the liver
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본 증례는 이차감염을 동반한 양성 고립성 비기생성 간낭종으로 진단된 후 경피적 배액술을 시행한 뒤에도 증세가 호전되지 않아, 수술 중 동결절편 조직검사상 간의 표피양낭으로 판명되어 간낭종적출술을 시행한 후 재발 없이 치유된 예로 표피양낭의 악성으로의 전환 가능성 때문에 수술적 치료를 시행하는 중요성을 보여준 예이다.
Abstract
Congenital solitary nonparasitic cysts of the liver are rare condition in all age groups. Since 1856, only approximately 900 cases having been reported in the world literature. Epidermoid cysts of the liver are extremely rare type of congenital nonparasitic hepatic cysts, characterized by a fibrous wall entirely lined with stratified squamous epithelium, but lacking hair or skin appendages. This condition has yet to be reported in Korea. Because they have a potential for malignant transformation, it is important to totally resect the epidermoid cyst of the liver. Recently, we experienced a case of 44-year-old female patient with epidermoid cyst of the liver, which condition was complicated by a secondary infection. For this patient, an enucleation of entire cyst was performed. Given the rarity of this case, the following is a report of this case and a review of the relevant literature.(Korean J Med 62:661-665, 2002)