Korean Journal of Gastrointestinal Endoscopy 1994;14(4): 476-481.
증례 : 악성 변화를 동반한 십이지장 팽대부의 융모성 선종 1예 ( Case Reports : A Case of Villous Adenoma of the Ampulla of Vater with Malignant Change )
이창홍, 김재선, 박영태, 김진호, 김종극, 원남희, 정문기, 조상경, 박상훈, 최상용 (Chang Hong Lee, Jae Seon Kim, Young Tae Bak, Jin Ho Kim, Jong Guk Kim, Nam Hee Won, Moon Gi Chung, Sang Kyung Jo, Sang Hun Park and Sang Young Choi)
Abstract
Ampullary adenoma is a benign neoplasm with malignant potential that arises from the glandular epithelium of the ampulla of Vater. When the tumor is confined to the ampulla, abdominal sonogram and CT scan can show dilatation of the common bile duct or pancreatic duct, but the mass itself may not be seen. And even biopsies are done, the confirmation of malignant change is frequently missed, and it may be impossible to assess the presence of carcinoma in situ or invasive carcinoma without complete exicision of the lesion. So complete surgical resection is recommended because of extensive growth of the ampullary adenoma and its malignant potential. Recently, we experienced a case of about 0.8 x 1.0 cm sized tumor of the ampulla of Vater that was diagnosed as villous adenoma on endoscopic biopsy, and malignant change was found on resected surgical specimen.
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