Korean J Gastrointest Endosc > Volume 34(3); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;34(3): 164-169.
내시경 절제술로 제거된 소유두의 점막하 종양 2예
최용호·박도현·김성준·강명진·조현득*·오미혜*·박정훈·이석호·김홍수·박상흠·김선주
순천향대학교 천안병원 내과학교실, *병리학교실
Two Cases of Endoscopic Resection of Submucosal Tumor of the Minor Papilla
Yong Ho Choi, M.D., Do Hyun Park, M.D., Seong Jun Kim, M.D., Meong Jin Kang, M.D., Hyun Deuk Jo, M.D.*, Mee Hye Oh, M.D.*, Jeong Hoon Park, M.D., Suck Ho Lee, M.D., Hong Soo Kim, M.D., Sang Heum Park, M.D. and Sun Joo Kim, M.D.
Departments of Internal Medicine and *Pathology, Institute of Gastroenteroloy, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Korea
Abstract
Tumors of the minor papilla are very rare and these tumors have generally been known as neuroendocrine tumors such as carcinoid tumor and somatostatinoma. As these are mostly submucosal tumors, their diagnosis is difficult by just performing endoscopic forceps biopsy, but diagnosis is possible by surgery or endoscopic resection. EUS and ERCP is an essential tool for the diagnosis of these tumors, and abdominal CT or MRI is also useful because there is the possibility of malignant tumors such as carcinoid tumor. For our present two cases, screening endoscopy revealed the polypoid lesion of the minor papilla. EUS disclosed that the submucosal tumor was limited to the submucosal layer and no abnormality was found from the abdominal CT and ERCP. Herein, we performed endoscopic resection for making the diagnosis and treatment. Histologically, these 2 tumors were diagnosed as ectopic pancreas and gangliocytic paraganglioma, respectively. (Korean J Gastrointest Endosc 2007;34:164-169)
Key Words: Minor papilla, Endoscopic resection, Ectopic pancreas, Gangliocytic paragangliom
주요어: 소유두, 내시경 절제술, 이소성 췌장, 신경절세포 부신경절종
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