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김창덕,문정섭,현진해 대한소화기학회 1997 대한소화기학회지 Vol.30 No.6
Biliary mucinous cysiadenocarcinoma is a rare cystic tumor in the biliary system. It originates from biliary cystadenoma and symptoms such as aMominal pain, nausea, vomiting, jaundice, ascites, weight loss can be seen. Its prognosis is better than that of hepatoma or cholangio-carcinoma. Diagnosis is done by abdominal sonography, computerized tomography, percutaneous cholangiography or endoscopic retrograde cholangiopancreatography and shows multiloculated cystic mass with profuse ucus secretion. But confirrnatory diagnosis is done by surgical pathology that shows typical papillary projection of epithelial cell, dissruption of basernent mernbrane and mitotic figure. Treatment of choice is the radical resection of the tumor mass with nearby hepatic lobes and careful attention to prevent leakage of mucinous contents of tumor is needed. We report three cases of intrahepatic biliary mucinous cystadenocarcinoma diagnosed by postoperative pathology with review of other literatures.
김창덕,현진해,정문기 대한소화기학회 1998 대한소화기학회지 Vol.30 No.2
Background/Aims: Chronic pancreatitis is a chronic inflammatory process leading to destruction of exocrine tissue, fibrosis, and in some patients, loss of endocrine tissue. A multiplicity of causes may lead to chronic pancreatitis; however, chronic alcohol abuse appears to be the etiologic basis in 70-80% of adult patients. As the problem of chronic alcoholism has grown in the our country, the prevalence of chronic pancreatitis is increasing. However, few reliable studies have been performed concerning the clinical features of chronic pancreatitis in Korea. So we investigate the clinical characteristics and diagnostic accuracy of imaging studies in chronic pancreatitis. Methods: We analyzed the 91 patients with chronic pancreatitis who were diagnosed and managed at Anam Hospital, Korea University in Seoul frorn January 1988 to December 199i. Results: The sex incidence showed male predominance with a male to female ratio of 4.7:1 and peak age groups were 5th and 6th decades. Most common cause of chronic pancreatitis was chronic alcohol consumption(54.9%), and the other causes were biliary disease, anomaly of the pancreas, hyperlipidemia, and hyperparathyroidism. Cause was not identified in 20.9% of patients. Most of patients complaints abdominal pain(91%), and other eomplaints were indigestion(73.6%), weight loss (39.6%), jaundice(13.2%) or diarrhea(8.8%). Elevated serum amylase and fasting sugar level were shown in 39.6% and 29.7% of patients respectively. Sensitivity of abdorninal sonogram, CT scan, and ERCP were 59%, 78% and 89% in diagnosis of chronic pancreatitis respectively. CT scan was supetior to other methods in detection of pancreatic calcification and smail cystic lesions, and ERCP was superior to others in detection of minor ductal change. Twenty-one cases were accompanied by complications such as pseudocysts, biliary stenosis, duodenal obstruction, splenic vein thrombosis & pseudoaneurysm. Endoscopic treatment was given in 12 cases and surgical operation was performed in 19 cases due to complicaiton. Conclusions: Chronic alcohol comsumption is a major cause of chronic pancreatitis. CT and ERCP are essential diagnostic tool in evaluating morphological changes of chronic pancreatitis.