내시경 절제술로 치료한 팽대부 주위 신경절세포 부신경절종 1예 (A case of juxtapapillary gangliocytic paraganglioma treated with endoscopic resection)

서지정보

· 발행기관 : 대한내과학회
· 수록지 정보 : 대한내과학회지 / 79권 / 5호 / 543 ~ 548페이지
· 저자명 : 조영심, 주혜진, 서의근, 전원중, 채희복, 박선미, 성노현

초록

본 증례는 팽대부 주위의 점막하 종양을 우연히 발견하여 생검으로 신경절세포 부신경절종으로 진단하였다. 복부 CT에서 주위 조직이나 림프절 침범의 증거가 없고 크기가 작아서 내시경적 올가미절제술로 종양을 완전히 절제하였다. 악성화의 증거가 없고 크기가 작은 십이지장 신경절세포 부신경절종은 내시경적 절제술이 유용한 치료 방법으로 생각한다.

영어초록

Gangliocytic paraganglioma is a rare tumor that is usually seen in the duodenum. This neoplasm generally behaves in a benign fashion, although instances of recurrence and lymph node metastasis have been described. We experienced a case of incidentally found gangliocytic paraganglioma treated with endoscopic resection. A 61-year-old man was referred because of submucosal tumor adjacent to the major papilla. Endoscopic biopsy revealed paraganglioma. Abdominal CT showed that there was no evidence of a duodenal mass or lymphadenopathy. This tumor was resected endoscopically by electrosurgical snare polypectomy. The excised tumor measured 1.0 cm in diameter. Histopathological examination revealed a benign gangliocytic paraganglioma and the resection margins were free of tumor. At the 6-month follow-up, the patient was still asymptomatic and no residual tumor was detected at the resection site.

참고자료

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