국소 복막염 소견을 보인 맹장의 신경내분비암종 1예
A Case of Neuroendocrine Carcinoma of the Cecum Manifested as Localized Peritonitis
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초록
대장의 신경내분비암종은 과거에 소세포암 혹은 미분화암으로 불렸고, 비교적 드문 질환이다. 대장의 신경내분비암종의 내시경적 소견은 정확하게 보고된 바가 없고, 임상적으로 산발성 대장암과는 달리 우측 결장과 맹장에서 호발하며, 대부분 나쁜 예후를 보인다. 본 증례는 36세 남자가 우하복부 통증을 주소로 내원하여 맹장의 신경내분비암종으로 진단하에 우측 결장반제거술을 시행 후 보강화학요법으로 치료 중인 예로 수술 후 6개월째 재발의 증거 없이 경과 관찰 중이다. 이에 저자 등은 맹장의 신경내분비암종 1예를 경험하였기에 문헌 고찰과 함께 보고한다.
Abstract
Neuroendocrine carcinomas of the colon and rectum are rare and have been known as either carcinoid tumors or undifferentiated cancers in the past. This type of tumor frequently occurred at cecum and is known for its aggressiveness and poor prognosis, differing from adenocarcinoma of colon. There has been no literature which describes endoscopic findings of colonic neuroendocrine carcinoma. Therefore, we report a case of neuroendocrine carcinoma of cecum in 36-year-old man with endoscopic findings. After right hemicolectomy followed by adjuvant chemotherapy, we have followed up the patient for 6 months without the evidence of recurrence.
참고문헌 (14)
- "Cancer: Principles & Practice of oncology." (2001), Lippincott Williams & Wilkins
- "Neuroendocrine carcinomas of the gastrointestinal tract", 1, pp.13~18 (1984)
- "Carcinoid tumors.Frequency in a defined population during a 12-year period", 84, pp.322~330 (1976)
- "Neuroendocrine carcinomas of the colon and rectum:a clinicopathologic evaluation", 104, pp.1080~1089 (1988)
- "대장,직장의 신경내분비 분화암", 59, pp.237~245 (2000)
- "Neuroendocrine carcinoma of the sigmoid colon:report of a case", 29, pp.1079~1082 (1999)
- "Neuroendocrine carcinomas of the colon.Ultrastructural and biochemical evidence of their secretory function", 2, pp.31~38 (1978)
- "Neuroendocrine cancers of the colon and rectum.Results of a ten-year experience", 37, pp.635~642 (1994)
- "Neural crest origin of the endocrine polypeptide(APUD)cells of the gastrointestinal tract and pancreas", 12, pp.783~788 (1971)
- "Small-cell undifferentiated carcinoma of the colon.A clinicopathological study of five cases and their association with colonic adenomas", 7, pp.643~651 (1983)
- "Immunohistochemical characterization of a set of monoclonal antibodies to human neuron-specific enolase", 131, pp.258~269 (1988)
- "An analysis of 8305 cases of carcinoidtumors", 79, pp.813~829 (1997)
- "Colonic small cell undifferentiated carcinoma:a distinct pathological diagnosis with therapeutic implications", 82, pp.382~385 (1987)
- "Treatment of neuroendocrine carcinomas with combined etoposide and cisplatin.Evidence of major therapeutic activity in the anaplastic variants of these neoplasms", 68, pp.227~232 (1991)