Korean J Gastrointest Endosc > Volume 41(4); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(4): 251-254.
바터 팽대부에 발생한 반지 세포암 1예
광주기독병원 내과
A Case of Signet-ring Cell Carcinoma of the Ampulla of Vater
Dong Ik Kim, M.D., Sang Wook Park, M.D., Geum Soo Lee, M.D., Geyong Yun Jung, M.D., Hyun Jin Jung, M.D., Hyeung Cheol Moon, M.D., Gun Young Hong, M.D. and Yeun Keun Lim, M.D.
Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea
Signet-ring cell carcinoma of the ampulla of Vater is so rare that only 16 cases have been reported. Here we report a case of a 47-year-old man with signet-ring cell carcinoma in the ampulla of Vater. The patient was hospitalized for right upper quadrant abdominal pain and jaundice which had developed 10 days prior. Computed tomography (CT) and ultrasonography (US) revealed dilatation of the common bile duct and the intrahepatic bile duct. On duodenoscopy, a bulging mass with an irregular margin in the major papilla was noted. Histologic findings showed a signet-ring cell carcinoma. Surgical resection was not done because lymph node metastasis was noted during the operation. Hence, conservative treatment including chemotherapy and bile drainage was done. (Korean J Gastrointest Endosc 2010;41:251-254)
Key Words: Signet-ring cell carcinoma, Ampulla of Vater cancer
주요어: 반지 세포암, 바터 팽대부 암
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