간담관을 침범한 담낭관암 1예
A Case of Cystic Duct Carcinoma with Hepatic Duct Invasion
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초록
원발성 담낭관암은 담관계 암의 2.6%를 차지하는 매우 드문 암으로 국내에서 모두 3건이 보고되어 있으나 자기공명 췌담관 조영술을 통하여 진단된 증례는 보고된 바 없다. 저자들은 우상복부 종괴를 주소로 내원한 65세 남자 환자에서 자기공명 췌담관 조영술을 통해 수술 전 담낭관암을 의심하였고, 수술을 통해 간담관을 침범한 담낭관암으로 확진한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
A primary carcinoma of the cystic duct is extremely rare, accounting for 2.6% of all biliary carcinomas. However, the prognosis is better than other biliary carcinomas. The median survival is 20.4 months. In Korea, three cases have been reported and there is no case where a pre-operative MRI has been performed. We report a case of a primary carcinoma of the cystic duct with hepatic duct invasion, which presented as a painless right upper quadrant mass, that was diagnosed by MRCP in a pre-operative situation. (Korean J Gastrointest Endosc 2006;33:178-182)
참고문헌 (12)
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