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내시경적 절제술로 완전 절제된 바터 팽대부의 신경절세포 부신경절종 1예
정진희 ( Jin-hee Jung ),유병무 ( Byung Moo Yoo ),엄유진 ( Yoo Jin Um ),조헌도 ( Hundo Cho ),안영환 ( Young Hwan Ahn ),양민재 ( Min Jae Yang ),황재철 ( Jae Chul Hwang ),김진홍 ( Jin Hong Kim ) 대한췌담도학회 2016 대한췌담도학회지 Vol.21 No.2
저자들은 십이지장의 팽대부에서 발견된 종양에 대해 조직검사를 시행, 신경내분비종으로 판단하여 내시경적 유두부 절제술을 시행하였으며 신경절세포 부신경절종으로 진단된 증례를 경험하였으며, 신경절세포 부신경절종이 내시경적 유두부절제술로 성공적으로 치료되었기에 문헌고찰과 더불어 보고하는 바이다. Gangliocytic paraganglioma (GP) is an extremely rare tumor that mostly occurs in the periampullary area of the duodenum. It is characterized by benign behavior and favorable outcomes, but sometimes shows regional lymph node dissemination. GP consist of three characteristic histological components: epithelioid, spindle, and ganglion cells. Therefore, it is often misdiagnosed as a neuroendocrine tumor when only endoscopic forceps biopsy is performed. The clinical management of GP has not yet been standardized. This case report describes an asymptomatic patient who was initially diagnosed with a grade-1 neuroendocrine tumor, but was confirmed as having benign GP after endoscopic papillectomy. Complete en-bloc resection was performed for this patient, without any significant adverse events. At a 6-month follow-up assessment, the patient remained asymptomatic and there was no evidence of recurrence.
만성담낭염으로 발현되고 류마티스성 다발성 근육통으로 오진된 아밀로이드증 1예
엄유진 ( Yoo Jin Um ),김현아 ( Hyoun Ah Kim ),정진희 ( Jin Hee Jung ),조헌도 ( Hundo Cho ),강준구 ( Joon Koo Kang ) 대한소화기학회 2016 대한소화기학회지 Vol.68 No.1
Amyloidosis is a rare disease defined by extracellular deposits of amorphous fibrillar proteins, derived from aggregations of misfolded proteins. Localization of amyloidosis in the gallbladder is uncommon; only eight cases have been reported. We describe a case of amyloidosis diagnosed by cholecystectomy, which possibly also affected the liver and kidney. The patient was misdiagnosed with polymyalgia rheumatica, but after a cholecystectomy to treat chronic cholecystitis, we ultimately diagnosed him with amyloidosis. We review amyloidosis with gallbladder involvement in the literature. (Korean J Gastroenterol 2016;68:49-53)