Korean J Gastrointest Endosc > Volume 39(6); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;39(6): 393-397.
내시경적 절제술로 치료한 바터 팽대부 점막하 신경절 신경종 1예
고려대학교 의과대학 내과학교실
A Case of a Submucosal Ganglioneuroma of the Ampulla of Vater That Was Treated by Endoscopic Resection
Hye Jin Cho, M.D., Jae Seon Kim, M.D., Tae Jung Yun, M.D., Seok Bae Yoon, M.D., Hyun-Seok Kang, M.D., Jae Young Moon, M.D., Jong-Jae Park, M.D. and Young-Tae Bak, M.D.
Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea
Submucosal tumors in the gastrointestinal tract are covered with a mucous membrane such as the surrounding tissue. Therefore, the use of endoscopic biopsy to diagnose submucosal tumors is not as effective as that for epithelial tumors. Although imaging tools such as ultrasonography or computed tomography have made great advances, it is still difficult to diagnose submucosal tumors before resection. The surgical resection of tumors is the most accurate diagnostic method, yet less invasive endoscopic resection has been preferred in recent years. We report herein on a rare case of ganglionueroma arising from the Ampulla of Vater and this lesion was incidentally found during performance of routine esohagogastroduodenoscopy. The lesion was diagnosed as a ganglioneuroma, and it was successfully removed through endoscopic resection. (Korean J Gastrointest Endosc 2009;39: 393-397)
Key Words: Ampulla of Vater, Submucosal tumor, Ganglioneuroma, Endoscopic resection
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