| 림프절 전이를 동반한 작은 직장 유암종 1예 |
| 박종범ㆍ차재명*ㆍ이정일*ㆍ최재원*ㆍ주광로*ㆍ정성원*ㆍ신현필*ㆍ이석환† |
| 웰파크병원 내과, *경희대학교 의과대학 동서신의학병원 내과학교실, †외과학교실 |
| A Case of Small Rectal Carcinoid Tumor with Local Lymph Node Metastases |
| Jong Beom Park, M.D., Jae Myung Cha, M.D.*, Joung Il Lee, M.D.*, Jae Won Choe, M.D.*, Kwang Ro Joo, M.D.*, Sung Won Jung, M.D.*, Hyun Phil Shin, M.D.* and Suk Hwan Lee, M.D.† |
| Department of Internal Medicine, Wellpark Hospital, *Departments of Internal Medicine and †Surgery, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea |
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| Abstract |
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Carcinoid tumors are rare and they arise from the enterochromaffin cells of the gastrointestinal tract. The rectum is the most common site for gastrointestinal carcinoids, and the majority of rectal carcinoids are found incidentally during colonoscopy. As the use of diagnostic colonoscopy has recently become more common, the number of cases with small rectal carcinoids resected by endoscopic resection has increased. However, distinguishing benign from malignant carcinoids is usually imposible based solely on the histology; therefore, evaluation for the local and distant metastases of rectal carcinoids is necessary even after complete endoscopic resection. We have experienced a case of small rectal carcinoid tumor that was endoscopically completely resected and surgical resection was done for the associated lymph node metastases. (Korean J Gastrointest Endosc 2009;38:52-56) |
| Key Words:
Rectum, Carcinoid tumor, Metastasis, Lymph node, Endoscopic resection |
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