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십이지장 샘암종과 동반된 악성 췌관 내 유두상 점액 종양 1예

A Case of Malignant Intraductal Papillary Mucinous Neoplasm of the Pancreas with Duodenal Adenocarcinoma

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주제분류내과학

초록

췌관내 유두상 종양은 샘종에서 샘암종으로 분화하는 전암성병변이나 그 진행이 매우 느리다. 췌관내 유두상 종양 환자에서 췌장 외 악성 신생물의 발생 빈도가 증가되는 특징은 환자의 예후에 있어서 매우 중요하다. 십이지장의 악성 신생물은 그 자체로도 드문 경우이며 췌관내 유두상 종양과 동반된 췌장 외 악성 신생물이 십이지장에서 보고된 경우는 흔치 않기 때문에 저자들은 악성 IPMN과 동반된 십이지장 샘암종을 수술을 통해 치료하였고 18개월째 추적 관찰중인 증례를 문헌 고찰과 함께 보고한다.

Abstract

Intraductal papillary mucinous neoplasm of the pancreas (IPMN) is a precancerous lesion with a well-described adenocarcinoma sequence. The rate of progression of IPMN appears to be very slow; however, patients with IPMN may be at increased risk for extrapancreatic malignancies. A 55-year-old female was diagnosed with IPMN of the pancreas and a duodenal polyp in 2004. After an approximate 3 year loss to follow-up, she was readmitted for managing abdominal pain and underwent Whipple’s operation. Herein, we report a case of a patient with malignant IPMN accompanied by duodenal adenocarcinoma arising from a duodenal polyp.

참고문헌 (20)

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