Korean Journal of Gastrointestinal Endoscopy 2010;41(6): 390-393.
상행 결장의 단발성 신경절신경종
정용욱ㆍ장병익ㆍ장경애ㆍ김경옥ㆍ김미진*
영남대학교 의과대학 내과학교실, *병리학교실
The Solitary Polypoid Ganglioneuroma of the Ascending Colon
Yong Wook Jung, M.D., Byung Ik Jang, M.D., Kyung Ae Chang, M.D., Kyeong Ok Kim, M.D. and Mi Jin Kim, M.D.*
Departments of Internal Medicine and *Pathology, Yeungnam University College of Medicine, Daegu, Korea
Abstract
Ganglioneuromas are neuroectodermal tumors composed of varying amount of ganglion cells, nerve fibers, supporting cells of the enteric nervous system. Ganglioneuromas of the GI tract are rare tumors. A 50-year-old man came to our hospital due to the mass of liver and adrenal gland which was examined with ultrasonography at local medical center. On admission, abdominal magnetic resonance imaging was taken and liver biopsy was done. The mass of liver was hyperplastic nodule. At colonoscopy, about 0.3∼0.8 cm sized six polyps were noted. Except the 0.6 cm sized semipedunculated polyp of the ascending colon, the others were tubular adenomas. Histological examination of the polyp of the ascending colon revealed localized proliferation of nerve fibers and ganglion cells. These cells are positive for S-100 protein by immunihistochemistry. Therefore, he was diagnosed with polypoid ganglioneuroma of the ascending colon. We report this case because the solitary ganglioneuroma in large intestine without systemic disease was rare. (Korean J Gastrointest Endosc 2010;41:390-393)
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