Korean Journal of Gastrointestinal Endoscopy 1999;19(4): 618-624.
피부전이로 나타난 위선암종 1예 ( A Case of Gastric Adenocarcinoma Appearing as Skin Metastasis )
박원종(Won Jong Park),김정한(Jung Han Kim),장현주(Hyun Joo Chang),강승식(Seung Sik Kang),계세협(Sea Hyub Kae),이진(Jin Lee),곽상택(Sang Taek Kwak),주상언(Sang Aun Joo)
Abstract
The Heterotopic pancreas is defined as the presence of pancreatic tissue lacking anatomical and vascular continuity with the main body of pancreas. Heterotopic pancreas or ectopic pancreas is found in 0.55% to 13.7% of autopsy series and also found one in approximately every 500 operations in abdominal surgery. The most common sites are the antrum of stomach, duodenum, and proximal jejunum. Most masses of heterotopic pancreas in stomach were encountered in the distal one third, usually within 5 or 6 cm of pylorus. We have recently experienced a case of hetertopic pancreas that was located in fundus which is not the usual site. Gastrofiberscopy revealed a 2 2.5 cm sized protruding mass on the fundus. There was apperared an umbilical shaped dimple on the center with a relatively normal mucosa. Endoscopic ultrasonography revealed a 2.5 cm sized hypoechoic mass of fundus, originating from submucosal and muscular layer. It was considered a submucosal tumor, such as leiomyoma, and subsequently wedge resection was performed. Histologic finding showed pancreatic acni. (Korean J Gastrointest Endosc 19: 625∼628, 1999)
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