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전상교(Sang Kyo Jeon),박정근(Jung Kun Park),김동월(Dong Wol Kim),유선영(Seon Young Yoo),김정례(Jeong Rae Kim),김재홍(Jae Hong Kim),이진석(Jin Suk Lee),두창준(Chang Joon Doo),변종훈(Jong Hoon Byun),주재식(Jae Sik Joo) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.4
Acinar cell carcinoma of the exocrine pancreas is a rare tumor with reported incidence of 1 to 2 % of pancreatic carcinoma. We reported a case of pancreatic acinar cell carcinoma in 58 year-old woman. Chief complaints were palpable mass and pain in left upper abdomen. Physical exatnination revealed huge aMominal mass in left upper abdomen. Abdominal ultrasonography and computed tomography revealed a huge well demarcated heterogeneous mass at the tail of the pancreas with liver metastasis. Distal pancreatectomy and excision of rnass were carried out. Pathological examination revealed acinar cell carcinoma in pancreatic tail. She died ninth day after operation. (Korean J Gastroenterol 1996;28: 592 - 596)
김준현(Joon Hyun Kim),전상교(Sang Kyo Jeon),박정근(Jung Kun Park),김동월(Dong Wol Kim),두창준(Chang Joon Doo),변종훈(Jong Hoon Byun),이성규(Sung Kyu Lee),유선영(Seon Young Yoo),김정례(Jeong Rae Kim) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.4
Leiomyosarcoma of duodenum is a rare malignant tumor, only ten percent are found in the duo- denum. The most common symptotns are abdominal pain, melena, weakness, weight loss, and jaundice, fever are rare complants. We reported a case of leiomyosarcoma with abscess formation in 54 year-old man confirmed by exploration and excisional biopsy. His chief complaints were right upper quadrant pain and high fever, a mass lesion combined with air bubbles on computerized tomography, upper gastrointestinal findings showed a duodenal mass hanging on 2nd and 3rd portion of duodenum and mucosal destruction. Excisional biopsy revealed low grade leiomyosar- coma in duodenum combined with necrosis and suppurations. (Korean J Gastroenterol 1996;28: 566 - 570)
김미영,하상철,박정근,한종학,서길준,변종훈,전상교,김동월,두창준 대한소화기내시경학회 1997 Clinical Endoscopy Vol.17 No.1
Hepatie hilar ductal carcinoma is relatively rare, but the prognosis is known to be poor because an early diagnosis is difficult. Because the majority of patients are already infiltrated into adjacent organ by itself at the diagnosis, the rate of resectability is low. The best method of treatment is curative resection, and the range of tumor invasion is very important. The preoperative diagnosis is difficult because the cholangiography may be normal in cases of superficial invasion. Multifocal lesions within the biliary tract may be identified in as many as 10 percent of patients, Especially, the papillary type has the best prognosis and is associated with multiple tumors within the bile duct. We report a case that percutaneous transhepatic cholangiogram showed normal distal common bile duct, but the hepatic hilar confluence and ampulla of Vater lesion was confirmed as adenocarcinoma.