The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
권호 표지

A case of juxtapapillary gangliocytic paraganglioma treated with endoscopic resection

내시경 절제술로 치료한 팽대부 주위 신경절세포 부신경절종 1예

  • Cho, Young-Shim (Department of Internal Medicine, Chungbuk National University College of Medicine) ;
  • Joo, Hye-Jin (Department of Internal Medicine, Chungbuk National University College of Medicine) ;
  • Seo, Eui-Keun (Department of Internal Medicine, Chungbuk National University College of Medicine) ;
  • Jeon, Won-Joong (Department of Internal Medicine, Chungbuk National University College of Medicine) ;
  • Chae, Hee-Bok (Department of Internal Medicine, Chungbuk National University College of Medicine) ;
  • Park, Seon-Mee (Department of Internal Medicine, Chungbuk National University College of Medicine) ;
  • Sung, Ro-Hyun (Department of Pathology, Chungbuk National University College of Medicine)
  • 조영심 (충북대학교 의과대학 내과학교실) ;
  • 주혜진 (충북대학교 의과대학 내과학교실) ;
  • 서의근 (충북대학교 의과대학 내과학교실) ;
  • 전원중 (충북대학교 의과대학 내과학교실) ;
  • 채희복 (충북대학교 의과대학 내과학교실) ;
  • 박선미 (충북대학교 의과대학 내과학교실) ;
  • 성노현 (충북대학교 의과대학 병리학교실)
  • Received : 2009.08.26
  • Accepted : 2009.09.25
  • Published : 2010.11.01
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Abstract

Gangliocytic paraganglioma is a rare tumor that is usually seen in the duodenum. This neoplasm generally behaves in a benign fashion, although instances of recurrence and lymph node metastasis have been described. We experienced a case of incidentally found gangliocytic paraganglioma treated with endoscopic resection. A 61-year-old man was referred because of submucosal tumor adjacent to the major papilla. Endoscopic biopsy revealed paraganglioma. Abdominal CT showed that there was no evidence of a duodenal mass or lymphadenopathy. This tumor was resected endoscopically by electrosurgical snare polypectomy. The excised tumor measured 1.0 cm in diameter. Histopathological examination revealed a benign gangliocytic paraganglioma and the resection margins were free of tumor. At the 6-month follow-up, the patient was still asymptomatic and no residual tumor was detected at the resection site.

Keywords

Acknowledgement

Supported by : Chungbuk National University

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