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악성화및 간전이를 동반한 Peutz-Jeghers 증후군
서보정(Bo Jeong Seo),이복근(Bok Geun Lee),박양훈(Yang Hun Park),권기호(Ki Ho Kwon),김영묵(Young Mook Kim),이충원(Choong Won Lee),이동윤(dong Yoon Lee),이준상(Joon Sang Lee),백옥지(Ok Ji Paik) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.2
The Peutz-Jeghers syndrome, characterized by pigmentation of the skin and mucous membranes and gastrointestinal polyposis of harmatomatous variety, has been well docu- mented, there have been conflicting view, however, as to frequency with which malignant change occurs in the polyp. There are insufficient data to establish this syndrome as a precancerous condition but documented cases of gastrointestinal cancer arising in this syndrome have been reported with an incidence of 2 3%. This report is concerned with our experience with a case of Peutz Jeghers syndrome with adenocarcinoma as arising in colonic polyps, which metastasized to omentum and regional lymph nodes and liver. Histologically the polyps were mostly harmatomatous and one was transformed into adenocarcinoma and liver showsed adenocarcinoma in the metastatic sites.(Korea J Gastro- enterol 1994;26:363-368)
김경환,이준상,김종현,황순철,서보정,백옥지,이복근 대한소화기학회 1992 대한소화기학회지 Vol.24 No.6
Biliary cystadenoma and cystadenocarcinoma are rare neoplasm of the biliary ductal system. Clinical symptom is not marked, so these tumors are found accidentally. The ultrasonogram, abdomnal CT scan, angiography and aspiration cytology are valuable dignostic methods. The typical ultrasonographic appearance is a large intrahepatic globular or ovoid cystic mass which often contains multiple septa and solid portion. The characteristic CT finding of these are multiloculated cystic mass, thick septa with papillary projection and solid portion. Because biliary cystadenocarcinoma is believed to arise from benign cystadenoma, complete surgical resection of cystadenoma is warranted to avoid malignant change of this tumor. We report one case of biliary cystadenocarcinoma which arised from cystadenoma and a brief review of literature was made.