주췌관과 연결된 췌장의 점액성 낭선종 1예

A Case of Mucinous Cystic Neoplasm of the Pancreas Communicating with the Main Pancreatic Duct

  • 황재진 (경상대학교 의학전문대학원 내과건강과학연구원) ;
  • 김태효 (경상대학교 의학전문대학원 내과건강과학연구원) ;
  • 김완수 (경상대학교 의학전문대학원 내과건강과학연구원) ;
  • 장현정 (경상대학교 의학전문대학원 내과건강과학연구원) ;
  • 김홍준 (경상대학교 의학전문대학원 내과건강과학연구원) ;
  • 김현진 (경상대학교 의학전문대학원 내과건강과학연구원) ;
  • 정운태 (경상대학교 의학전문대학원 내과건강과학연구원) ;
  • 이옥재 (경상대학교 의학전문대학원 내과건강과학연구원)
  • Hwang, Jae-Jin (Department of Internal Medicine and Institute of Health Science, School of Medicine, Gyeongsang National University) ;
  • Kim, Tae-Hyo (Department of Internal Medicine and Institute of Health Science, School of Medicine, Gyeongsang National University) ;
  • Kim, Wan-Su (Department of Internal Medicine and Institute of Health Science, School of Medicine, Gyeongsang National University) ;
  • Jang, Hyeoun-Jung (Department of Internal Medicine and Institute of Health Science, School of Medicine, Gyeongsang National University) ;
  • Kim, Hong-Jun (Department of Internal Medicine and Institute of Health Science, School of Medicine, Gyeongsang National University) ;
  • Kim, Hyun-Jin (Department of Internal Medicine and Institute of Health Science, School of Medicine, Gyeongsang National University) ;
  • Jung, Woon-Tae (Department of Internal Medicine and Institute of Health Science, School of Medicine, Gyeongsang National University) ;
  • Lee, Ok-Jae (Department of Internal Medicine and Institute of Health Science, School of Medicine, Gyeongsang National University)
  • 투고 : 2010.06.21
  • 심사 : 2010.10.17
  • 발행 : 2010.11.30

초록

점액성 낭선종은 췌장 낭선종양의 10~15%를 차지하며 악성화의 가능성이 있다. 수술적 절제가 필요한 점액성 낭선종을 가성낭종을 포함한 양성 췌장 낭성 질환으로 오인하여 적절한 치료가 지연된 예들이 간혹 보고되고 있다. 저자들은 췌장염의 병력과 주췌관과 낭종의 연결이 있어 가성 낭종으로 오인하였던 점액성 낭선종을 경험하여 보고한다.

Diagnoses of cystic lesions in the pancreas are increasing in clinical practice because of the wider use of imaging studies. The selection of appropriate treatment depends on the ability to distinguish between benign and malignant cysts. However, cystic pancreatic neoplasms are sometimes misdiagnosed as pseudocysts and treated improperly. We experienced a case of mucinous cystic neoplasm of the pancreas misdiagnosed as a pseudocyst, which had a communication between the cyst and the main pancreatic duct.

키워드

참고문헌

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