Korean J Gastrointest Endosc > Volume 28(5); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;28(5): 262-266.
바터팽대부에 발생한 사종상 유암종 1예
서 존·양재훈·홍수진·차상우·문종호·조영덕·이문성·심찬섭·김부성·김형철*·권계원
순천향대학교 의과대학 내과학교실, 소화기연구소, *외과학교실, 병리학교실
A Case of Psammomatous Carcinoid Tumor of the Ampulla of Vater
Jon Suh, M.D., Jae Hoon Yang, M.D., Su Jin Hong, M.D., Sang Woo Cha, M.D., Jong Ho Moon, M.D., Yong Deok Cho, M.D., Moon Sung Lee, M.D., Chan Sup Shim, M.D., Boo Sung Kim, M.D., Hyung Chul Kim, M.D.* and Kye Won Kwon, M.D.
Departments of Internal Medicine, *General Surgery and Pathology, Institute for Digestive Research, Soon Chun Hyang University, College of Medicine, Seoul, Korea
Carcinoid tumors of the ampulla of Vater are rare. The variant form of ampullary carcinoid tumors containing psammoma bodies is noted extremely rare and produces somatostatin. Obstructive jaundice is the most common presenting symptom of ampullary carcinoid tumor. It is difficult to diagnose ampullary carcinoid tumor preoperatively because of their relatively small size and submucosal location. We report a case of ampullary psammomatous carcinoid tumor and also review the literature. Deep biopsies were taken from the edges of the papillotomy wound of the protruded ampulla of Vater from a 51- year-old man. The histology was consistent with psammomatous carcinoid. 111In-octreoscan revealed an abnormal focal increased radiouptake in the infrahepatic area which suggested the presence of a somatostain producing tumor. The patient underwent a Whipple's operation. (Korean J Gastrointest Endosc 2004;28:262⁣266)
Key Words: Psammoma body, Carcinoid tumor, Somatostatin, Ampulla of Vater
주요어: 사종체, 유암종, 소마토스타틴, 바터팽대부
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