황달로 발현된 바터 팽대부의 신경절세포 부신경절종 1예
A Case of Gangliocytic Paraganglioma of the Ampulla of Vater Presenting as Jaundice
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
신경절세포 부신경절종(gangliocytic paraganglioma)은 드문 소화기계 양성 종양으로 대부분 십이지장에서 발견되고, 그 조직학적 생성기원은 아직 분명히 밝혀져 있지 않다. 대개 무증상으로 방사선과 검사에서 우연히 발견되거나, 점막의 궤양으로 인한 위장관 출혈로 진단되는 경우가 대부분이다. 십이지장의 신경절세포 부신경절종은 국내에서 상부위장관 출혈로 발견된 1예가 보고된 바 있으나, 저자들은 황달을 주소로 내원하여 바터 팽대부의 신경절세포 부신경절종으로 진단받고 수술로 제거한 예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Gangliocytic paraganglioma is a rare and benign gastrointestinal tumor that usually arises in the second portion of the duodenum. Histogenesis of this tumor is yet unclear. It is incidentally found during radiographic examinations or during endoscopy looking for the cause of gastrointestinal hemorrhage, which usually manifests as mucosal ulcerations. To our knowledge, there was only one case of duodenal gangliocytic paraganglioma presenting with melena in Korea. We experienced a case of gangliocytic paraganglioma arising from the ampulla of Vater, presenting as obstructive jaundice, which was subsequently removed surgically. Thus, we report this case with a review of literatures.
참고문헌 (18)
- "후복막강과 종격동에서 발생한 부신경절종", 61, pp.619~624 (2001)
- "Duodenal gangliocytic paraganglioma.Clinicopathologic and immunocytochemical study of 11 cases", 86, pp.559~565 (1986)
- "Gangliocytic paraganglioma", 92, pp.1~9 (1989)
- "Duodenal periampullary gangliocytic paraganglioma:report of two cases with immunohistochemical and ultrastructural study", 25, pp.137~145 (2001)
- "Periampullary gangliocytic paraganglioma", 33, pp.154~156 (2001)
- "Gangliocytic paraganglioma of the duodenum:an immunocytochemical study", 78, pp.794~798 (1983)
- "Gastrointestinal ganglioneuromas:brief review with report of a duodenal ganglioneuroma", 33, pp.953~965 (1957)
- "Gangliocytic paragangliomas of the duodenum:a report of two cases with light and electron microscopic examination", 27, pp.61~70 (1971)
- "십이지장에 발생한 신경절세포 부신경절종 1예", 43, pp.47~51 (2004)
- "Gangliocytic paraganglioma", 1, pp.207~216 (1977)
- "Duodenal gangliocytic paraganglioma.An immunohistochemical and ultrastructural study and a hypothesis concerning its origin", 9, pp.31~41 (1985)
- "Benign nonchromaffin paragangliomas of the duodenum", 335, pp.356~366 (1962)
- "Gangliocytic paraganglioma of the papilla of Vater with regional lymph node metastasis", 87, pp.1216~1218 (1992)
- "Paraganglioneuroma of the duodenum Report of a case with radiographic findings angiographic findings and a review of the literature"
- "Gangliocytic paraganglioma of the duodenum:case report", 66, pp.637~641 (1980)
- "Duodenal gangliocytic paraganglioma with lymph node metastasis in a 17-year-old boy", 63, pp.2540~2545 (1989)
- "Gangliocytic paraganglioma of the duodenum.Case report with immunohistochemical characterization", 136, pp.181~187 (1990)
- "Endoscopic management of adenoma of the major duodenal papilla", 59, pp.225~232 (2004)