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내시경적 용종절제술로 치유한 십이지장의 Brunner`s Gland 선종 1예
김남훈,한지영,권영철,김배영,추무엽,황교승,김진범,윤환곤,이주택 대한소화기내시경학회 1995 Clinical Endoscopy Vol.15 No.4
The Brunner's gland adenoma is characterized by a nodular proliferation of histologically normal Brunner's gland, accompanied by ducts and scattered stromal elements. First descrived by Salvioli in 1876, the tumor is relatively rare, with 119 cases reported by 1977, The most common benign tumor of the small bowel is the adenoma, 25% of which occur in the duodenum. They make up 30% to 50% of all hyperplastic polyps of the duodenum. Most frequently these tumors are discovered in patients in the fourth to sixed decades of life, though the age in reported caes ranges from l 1 days to 80 years. The benign tumors of the duodenum 30% to 50% contain elements of Brunner's gland and 10.6% of them are adenomas of Brunner's gland. We report a case of Brunner's gland adenoma treated by endoscopic polypectomy in 63 year-old woman, and reviewed the literatues of adenoma of the Brunne'r gland.
윤환곤(Whan Gon Yoon),추무엽(Moo Youp Choo),황교승(Kyo Seung Hwang),권영철(Young Cheol Kwon),김경태(Kyung Tae Kim),전재민(Jae Min Jeon),신선영(Sun Young Shin),최성근(Seong Kuen Choi),이윤석(Yun Suk Lee),안희권(Hee Kwon Ahn),이주택(Ju 대한소화기학회 1994 대한소화기학회지 Vol.26 No.1
Pancreatic cystadenoma is a very rare slow-growing cystic lesion that only about 350 cases were reported in the literlatures. The lesions occur predominantly in late middle aged woman characterized by a slowly growing palpable mass in the epigastrium. The etiology of the cyst- adenoma is still obscure. Pancreatic mucinous cystadenoma occur predominantly in the tail and the body of the pancreas. Pancreatic mucinous cystadenoma has a definite malignant po- tential in contrast to microcystic(serous) cystadenoma which is benign and then total excision is the ideal treatment for pancreatic mucinous cystadenoma. A 54 year old woman patient was admitted to this hospital with the complaints of epigastric discomfort and the discovery of a slow-growing palpable mass in left upper quadrant abdomen for the preceding 7 years. Exploratory laparatomy was performed which disclosed a smooth cystic mass about 15cm in diameter in the tail of the pancreas. The cut surface of the turnor showed multiple cyst containing gray mucinous fluid. The mass was adhered to the stomach and jejunum. For the complete excision of the tumor, distal pancreatectomy and splenectomy were performed. Histopathological examination confirmed the mucinous cystadenoma of the pancreas.(Korean J Gastroenterol 1994; 26: 210 213)
내시경으로 확진된 위선암의 VATER 팽대부 림프선 전이 1 예
김영호,김경호,김남훈,김규식,김진범,김배영,이영록,추무엽,황교승,곽재영,이명기,조연회,이주택 대한내과학회 1997 대한내과학회지 Vol.53 No.4
Cancer of the stomach is responsible for approximately 650,000 deaths globally each year and is probably second only to lung cancer worldwide as an overall cause of cancer-related mortality. Similar to the situation with most adenocarcinomas of the gastointestinal tract, carcinomas of the stomach can spread by local extension to adjacent normal structures and can develop lymphatic, peritoneal, and distant metastases. The tumor cells, can also permeate diffusely into the lymphatic plexus of the bowel, more often at the level of the upper duodenum hut sometimes down into the distal ileum and the large bowel. We report a case of lymphatic metastasis of gastric adenocarcinoma to the ampulla of Vater with review of the literature.