Korean J Gastrointest Endosc > Volume 41(2); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(2): 108-112.
십이지장 대롱융모샘종에서 기인한 샘암종에 대한 내시경 절제술
석화영ㆍ차재명ㆍ이정일ㆍ주광로ㆍ신현필ㆍ정성원ㆍ장나은
경희대학교 의과대학 동서신의학병원 내과학교실
Endoscopic Resection of an Adenocarcinoma Arising from a Sporadic Tubulovillous Adenoma of the Duodenum
Hwa Young Seok, M.D., Jae Myung Cha, M.D., Joung Il Lee, M.D., Kwang Ro Joo, M.D., Hyun Phil Shin, M.D., Sung Won Jung, M.D. and Na Eun Jang, M.D.
Department of Internal Medicine, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea
Abstract
Duodenal tumors may pose diagnostic difficulties in asymptomatic young patients because the duodenum may be overlooked during routine upper gastrointestinal endoscopy and because duodenal tumors are rare and present non-specific signs and symptoms. Although adenomas are the most common duodenal tumors, adenocarcinoma arising from sporadic tubulovillous adenoma without familial adenomatous polyposis is an uncommon condition in young patients. In patients with sporadic duodenal adenomas, the prevalence of colorectal adenomas is higher than prevalence for the general population. Herein, we report the case of a 27-year male with adenocarcinoma arising from a sporadic tubulovillous adenoma of the duodenum. The tumor was completely resected by endoscopic resection. Synchronous colon adenoma was also detected and treated by endoscopic mucosal resection. (Korean J Gastrointest Endosc 2010;41:108-112)
Key Words: Endoscopic resection, Duodenum, Tubulovillous adenoma, Adenocarcinoma, Colorectal adenoma
주요어: 내시경 절제술, 십이지장, 대롱융모샘종, 샘암종, 대장 샘종
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