Korean Journal of Gastrointestinal Endoscopy 1998;18(1): 92-98.
증례 : 식도 위장관 ; 간 전이 소견없이 유암 증후군을 동반한 십이지장 구부의 유암종 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Duodenal Bulb Carcinoid Tumor Causing a Carcinoid Syndrome without Liver Metastasis )
이성욱, 최필선, 이혜정, 박진곤, 배영진, 조강일, 한경문, 선병호, 김혜숙, 천종철, 문성채 (Sung Ok Lee, Pil Sun Choi, Hye Jung Lee, Jin Gon Park, Young Jin Bae, Kang Il Jo, Kyeong Moon Han, Byeong Ho Sun, Hye Suk Kim, Jong Chul Chun and Sung Chai Moon)
Abstract
A primary duodenal carcinoid tumor causing carcinoid syndrome is rare. In case of accompanying carcinoid syndrome in a primary duodenal carcinoid tumor, it mostly suggests massive liver metastasis. In rare case, venous drainage of carcinoid tumor and systemic venous drainage are directly connected without passing through the portal system. Therefore, it is rare and interesting case which a primary duodenal carcinoid tumor accompanies carcinoid syndrome without liver metastasis. We experienced an occasion of a primary carcinoid tumor located in duodenal bulb in a 56 year-old woman. This patient came to our hospital because of intermittent diarrhea, epigastric pain and facial flushing. And it was surely diagnosed as carcinoid tumor by gastrointestinal endoscopic biopsy. She was hospitalized for surgery and we were able to confirm that carcinoid syndrome was accompanied through biochemical test. However, metastatic lesion was not found at liver, small and large intestine. We report this case with reference to documents due to rarity. (Korean J Gastrointest Endosc 18: 92-98, 1998)
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