위장과 누공을 형성한 담낭의 원발성 편평세포암 1예
Primary Squamous Cell Carcinoma of the Gallbladder Forming a Cholecystogastric Fistula
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초록
담낭에서 가장 많이 차지하는 악성 종양은 샘암종이고 편평세포암은 담낭암의 1.7% 정도를 차지하는 드문 암이다. 원발성 담낭 편평세포암은 림프절 전이나 복강내 침습은 잘하지 않지만 성장 속도가 빠르고 주위 장기로 침습을 잘해 샘암종보다 예후가 좋지 않다. 담석이나 종양 등에 의한 담낭과 위장에 누공을 형성하는 경우는 소화기관과 담낭과 누공을 형성한 경우의 1%를 차지한다. 담낭암에서 위장과 누공을 형성한 경우가 드물며, 담낭의 원발성 편평세포암에서 위장과 누공을 형성한 경우는 드물어 저자들은 문헌고찰과 함께 보고한다.
Abstract
The most common type of gallbladder cancer is adenocarcinoma. Primary squamous cell carcinoma of the gallbladder is a rare and aggressive disease. It is responsible for up to 1.7% of the malignant neoplasms of the gallbladder. It characteristically presents with invasive growth, a low tendency towards lymph node metastasis and a high incidence of local infiltration and hepatic metastasis, presenting a worse prognosis than adenocarcinoma of the gallbladder. Cases of gallbladder cancer forming a fistula to the stomach are also rare. We experienced a case of primary squamous cell carcinoma of the gallbladder which formed a fistula to the stomach.
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