Korean Journal of Gastrointestinal Endoscopy 1998;18(5): 788-797.
증례 : 담도 췌장 ; 내시경적으로 제거한 총담관 융모성 선종 2예 ( Case Reports : Biliary Tract & Pancreas ; Two Cases of Villous Adenoma of the Common Bile Duct : Endoscopic Diagnosis and Treatment )
정성택, 신용준, 유병무, 김진홍, 조성원, 진윤미, 문영수, 박영숙 (Sung Taik Jeoung, Yong Jun Shin, Byeong Moo Yoo, Jin Hong Kim, Sung Won Cho, Yoon Mi Jin, Young Soo Moon and Young Sook Park)
Abstract
Villous adenomas of the common bile duct are rare and accordingly it is difficult to render a firm preoperative diagnosis. They are the unusual cause of bile duct obstruction and can mimic malignant extrahepatic biliary tumors or stones. Until recently, only a few cases had been reported in the medical literature. Although some authors advocate open surgical excision, especially with recurrence or carcinomatous change, an endoscopic resection of a distal common bile duct adenoma is a viable alternative for those patients considered poor surgical risks. We present two cases of villous adenoma of the common bile duct diagnosed by an endoscopic biopsy and endoscopically resected, with review of the relevant literature on the subject. (Korean J Gastrointest Endosc 18: 788-795, 1998)
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