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Korean J Gastrointest Endosc > Volume 36(2); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;36(2): 117-121.
간외 담관에서 발생한 유암종 1예
윤재승ㆍ정우철ㆍ원용성*ㆍ정주원ㆍ김진동ㆍ이정록ㆍ백창렬ㆍ이강문
가톨릭대학교 의과대학 내과학교실, *외과학교실, 병리학교실
Carcinoid Tumor of the Extrahepatic Bile Duct: A Case Report and Review of the Literature
Jae Seung Yun, M.D., Woo Chul Chung, M.D., Yong Sung Won, M.D.*, Ju Won Chyung, M.D., Jin Dong Kim, M.D., Jung Rok Lee, M.D., Chang Nyol Paik, M.D. and Kang Moon Lee, M.D.
Departments of Internal Medicine, *Surgery, Clinical Pathology, College of Medicine, The Catholic Uuniversity of Korea, Seoul, Korea
Abstract
A carcinoid tumor of the bile duct represents between 0.2 and 2% of all gastrointestinal carcinoids, most of which are located in the gallbladder or in the ampulla of Vater. A carcinoid tumor of the extrahepatic bile duct is extremely rare. A 43-year-old man presented with epigastric discomfort for several months. An abdominal ultrasound revealed a mass of the common bile duct. An endoscopic retrograde cholangiopancreatographic (ERCP) examination showed a 1.5 cm sized filling defect in the distal common bile duct and marked dilatation of the common bile duct and intrahepatic bile ducts. A 7 F endoprosthesis was put in place during the examination. The histological finding following an intralesional biopsy was a carcinoid tumor. We performed a pylorus preserving pancreaticoduodenectomy. The final pathological diagnosis was a well-differentiated carcinoid tumor of a malignant nature. (Korean J Gastrointest Endosc 2008; 36:117-121)
Key Words: Carcinoid tumor, Common bile duct
주요어: 유암종, 총담관
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