췌담관 확장을 동반한 바터 팽대부 선근종 1예
A Case of Ampullary Adenomyoma Associated with Dilatations of Pancreatic and Biliary Ducts
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초록
선근종은 조직학적으로 상피조직과 평활근의 증식으로 구성된 결절성 병변이다. 대부분은 특이적 증상 없이 우연히 발견되나 담도계에서 발생하는 경우 복통 등의 증상을 유발하거나 췌담관 폐쇄를 일으키므로 악성 종양을 배제하지 못해 수술하는 경우도 있다. 저자들은 상복부 통증으로 내원한 환자에서 췌담관의 확장을 동반한 바터 팽대부 병변을 내시경 유두절제술을 하여 선근종으로 진단한 1예를 경험하여 문헌 고찰과 함께 보고한다.
Abstract
Adenomyoma is a nonneoplastic lesion that can be found anywhere in the gastrointestinal tract, but it’s rarely found in the ampulla of Vater. To the best of our knowledge, it is a benign lesion, but most cases are misdiagnosed as carcinoma or adenoma by a preoperative endoscopic or radiologic procedure, and this leads to unnecessarily extensive surgical resection. We report here on a case of ampulla of Vater adenomyoma that resulted in biliary and pancreatic duct dilatation. The tumor was diagnosed by endoscopic papillectomy.
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