대장에 발생한 폴립모양 신경절신경종 1예 |
방병욱ㆍ정석ㆍ김철현ㆍ이돈행ㆍ김준미*ㆍ이정일ㆍ이진우ㆍ권계숙ㆍ김형길ㆍ신용운ㆍ김영수 |
인하대학교 의과대학 내과학교실, *병리학교실 |
A Case of Polypoid Ganglioneuroma of the Colon |
Byoung Wook Bang, M.D., Seok Jeong, M.D., Chul Hyun Kim, M.D., Don Haeng Lee, M.D., Joon Mee Kim, M.D.*, Jung Il Lee, M.D., Jin-Woo Lee, M.D., Kye Sook Kwon, M.D., Hyung Gil Kim, M.D., Yong Woon Shin, M.D. and Young Soo Kim, M.D. |
Departments of Internal Medicine and *Pathology, Inha University College of Medicine, Incheon, Korea |
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Abstract |
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A ganglioneuroma is a benign tumor composed of ganglion cells, nerve fibers, and supporting cells that originates from the neural crest. An occurrence of a ganglioneuroma is mainly along the pathway of the sympathetic chain. However, it is rare to find the lesion in the gastrointestinal tract. A ganglioneuroma of the gastrointestinal tract appears to involve predominantly the colon and rectum, but rarely involves the upper gastrointestinal tract. An intestinal ganglioneuroma is divided into three subgroups: a polypoid ganglioneuroma, ganglioneuromatous polyposis, and diffuse ganglioneuromatosis. A polypoid ganglioneuroma is not associated with systemic disease. However, ganglioneuromatous polyposis and diffuse ganglioneuromatosis are highly associated with systemic diseases. A 33-year-old woman who had no specific family history visited our institution with a complaint of abdominal discomfort. A single polyp was found incidentally in the descending colon during a colonoscopy and it was treated by snare polypectomy. The patient had no associated systemic disease and histology of the polyp revealed a ganglioneuroma. We report a patient with a polypoid ganglioneuroma of the colon. (Korean J Gastrointest Endosc 2008;36:48-51) |
Key Words:
Ganglioneuroma, Colon |
주요어:
신경절신경종, 결장 |
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