단일풍선소장내시경으로 진단한 공장의 원발성 점액성 샘암종 1예
A Case of Primary Jejunal Mucinous Adenocarcinoma Diagnosed by Single Balloon Enteroscopy
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초록
소장에서 발생하는 원발성 종양은 모든 위장관 종양의 1∼2% 내외이고 조직학적으로는 고분화샘암종이나 중등도분화샘암종이 가장 흔하다. 점액성 샘암종은 샘암종 형태이면서 종양 내부 세포외 점액량이 50% 이상일 때로 정의하며, 소장에서 발생한 원발성 점액성 샘암종의 보고는 국내외적으로 매우 드물다. 저자들은 소화 불량과 구역을 주소로 내원한 환자에서 단일풍선소장내시경 검사를 통하여 수술 전에 근위부 공장의 점액성 샘암종을 확진할 수 있었고 수술적으로 치료한 1예를 경험하여 문헌고찰과 함께 보고한다.
Abstract
The small bowel rarely develops neoplasm, and tumor of the small bowel accounts for only 1∼2% of all gastrointestinal neoplasm. Most cases of jejunal and ileal adenocarconoma are of the well or moderately differentiated type. Mucinous adenocarcinoma is diagnosed when the amount of extracellular mucin in a tumor is over 50% and its incidence in the small bowel is very low. A 49-year-old man presented with postprandial abdominal pain and vomiting for the previous 2 months. The abdominal computed tomography scan showed about a 6.5 cm-sized mass at the proximal jejunum. Single balloon enteroscopy was done preoperatively for making the diagnosis and the biopsy showed mucinous adenocarcinoma of the proximal jejunum. Under the diagnosis of primary jejunal cancer. We report here on our case for which a definite diagnosis was made before surgery by performing single balloon enteroscopy, and we review the relevant medical literature.
참고문헌 (13)
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