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송병구 ( Byeong Gu Song ),김동욱 ( Dong Uk Kim ),이대성 ( Dae Sung Lee ),황경림 ( Kyung Lim Hwang ),이민진 ( Min Jin Lee ),김중근 ( Joong Keun Kim ),박철홍 ( Chul Hong Park ),박종만 ( Jong Man Park ) 대한췌장담도학회 2014 대한췌담도학회지 Vol.19 No.3
Sarcoma is rare malignant tumor originated from mesenchymal stem cells that can differentiate to soft tissue and bone. Therefore sarcoma can be arised from any regions in human body. However, the incidence of bile duct sarcoma is extremely rare in adults. Obstructive jaundice is the most common presentation in the patients, but there`re no specific symptoms or signs. Also it can be misdiagnosed with other tumors or benign lesions in computed tomography or ultrasonography. For these reasons, it is hard to diagnose and manage. We present a case of intrahepatic bile duct sarcoma misdiagnosed with liver abscess in 70 year-old female with literature review.
박철홍 ( Chul Hong Park ),김동욱 ( Dong Uk Kim ),박종만 ( Jong Man Park ),황경림 ( Kyung Lim Hwang ),나해정 ( Hae Jung Na ),이민진 ( Min Jin Lee ),장선미 ( Sun Mi Jang ),서형일 ( Hyung Il Seo ) 대한췌장담도학회 2014 대한췌담도학회지 Vol.19 No.2
A blastoma is a type of cancer, which is common in children; it is caused by malignancies derived from in the precursor cells, often called blasts. Examples are nephroblastomas, retinoblastomas, pleuropulmonary blastomas, and pancreatoblastomas. Pancreatoblastomas are extremely rarely in adults. It is difficult preoperatively to distinguish this tumor from other pancreatic tumors including solid and papillary epithelial neoplasm of the pancreas (SPEN), acinar cell carcinoma, islet cell tumor, and ductal adenocarcinoma with cystic degeneration. To our knowledge, this case may be the second report of a pancreatoblastoma occurring in an adult in Korea. We report a case of a pancreatoblastoma that was confirmed by pathology, despite the radiologic finding that assumed it was a SPEN.
풍선 확장술로 치료한 담관결석과 동반된 총담관 막양구조
백성민 ( Sung Min Baek ),김동욱 ( Dong Uk Kim ),장선미 ( Sun Mi Jang ),송병구 ( Byeong Gu Song ),박종만 ( Jong Man Park ),이대성 ( Dae Sung Lee ),김중근 ( Joong Keun Kim ),황경림 ( Kyung Lim Hwang ) 대한췌장담도학회 2014 대한췌담도학회지 Vol.19 No.3
Bile duct web is very rare disease and it`s etiology is controversial. Some webs are occurred in the presence of chronic inflammation, frequently associated with bile duct stone, but others are thought to be congenital. Many patients with bile duct web are asymptomatic, but they sometimes present symptom of biliary obstruction and cholangitis. It can be diagnosed by endoscopic retrograde cholangiopancreatogram, typically appearing as thin and shelf like radiolucent ring. We report a case of the common bile duct web with bile duct stones diagnosed by Endoscopic retrograde cholangiopancreatography (ERCP) in a 65-year-old man. The patient was treated by balloon dilatation successfully.