Korean Journal of Gastrointestinal Endoscopy 2003;27(4): 263-266.
대상포진 치료 중 조기 진단된 유두부 선암
진은선·장영운·정용희·이병욱·한요셉·동석호·김효종·김병호·이정일·장 린
경희대학교 의과대학 소화기내과학교실
Early Diagnosis of Adenocarcinoma of the Ampulla of Vater during Treatment of Herpes Zoster
Eun Sun Jin, M.D., Young-Woon Chang, M.D., Yong Hee Joung, M.D., Byoung Wook Lee, M.D., Yo Seb Han, M.D., Seok Ho Dong, M.D., Hyo Jong Kim, M.D., Byung-Ho Kim, M.D., Joung Il Lee, M.D. and Rin Chang, M.D.
Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea
Abstract
Herpes zoster infection may herald the presence of a hidden malignancy. We encountered a case of a carcinoma of the ampulla of Vater in a 72-year-old female in which the ampullary lesion was found during a work-up for excluding certain causes of Herpes zoster infection. An esophagogastroduodenoscopy showed a polypoid mass at the ampulla of Vater. A pylorus-preserving pancreaticoduodenectomy was performed and the pathology of the resected specimen confirmed well differentiated adenocarcinoma in the background of villous adenoma. The stage of the tumor was T2N0M0. This case illustrates that it may be necessary to do some diagnostic work-ups in patients with Herpes zoster infection to exclude underlying diseases. However, the extent of the work-ups should be determined in the future based on the cost-effectiveness data.
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