| 총간관 관상 선종과 동반한 조기 담낭암 1예 |
| 최준호ㆍ이태훈ㆍ박상흠ㆍ심윤숙ㆍ이창균ㆍ이석호ㆍ김선주ㆍ조현득* |
| 순천향대학교 의과대학 천안병원 내과학교실, *병리학교실 |
| A Case of Tubular Adenoma of the Common Hepatic Duct Accompanied with Gallbladder Carcinoma |
| Jun Ho Choi, M.D., Tae Hoon Lee, M.D., Sang-Heum Park, M.D., Yun Suk Shim, M.D., Chang Kyun Lee, M.D., Suck-Ho Lee, M.D., Sun-Joo Kim, M.D. and Hyun-Deuk Cho, M.D.* |
| Departments of Internal Medicine and *Pathology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Korea |
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| Abstract |
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Biliary adenoma is rarely found in the biliary tract, and there are currently few reported cases of tubular adenoma. Biliary adenoma most often occurs on the duodenal ampulla and the next most common site is on the common bile duct. Because the clinical signs, symptoms and the laboratory findings of these lesions may be similar to malignant biliary diseases, it is difficult to differentiate benign biliary adenoma from malignancy. Therefore, the diagnosis of these tumors tends to be delayed and physicians usually make the pathologic confirmation after a surgical operation. We experienced a case of the simultaneous occurrence of tubular adenoma of the common hepatic duct and gallbladder carcinoma, and all this was diagnosed and treated with common hepatic duct resection and a Roux-en-Y hepaticojejunostomy operation. To the best of our knowledge, this is the first report of biliary tubular adenoma accompanied with gallbladder carcinoma arising from tubulovillous adenoma. (Korean J Gastrointest Endosc 2010;40:396-400) |
| Key Words:
Common hepatic duct, Tubular adenoma, Gallbladder carcinoma |
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