심한 췌관확장을 동반한 원발췌장림프암: 증례 보고

Primary Pancreatic Lymphoma with Severe Dilatation of Pancreatic Duct: A Case Report

  • 허태욱 (전남대학교 의과대학 영상의학교실, 전남대학교병원 영상의학과) ;
  • 김진웅 (전남대학교 의과대학 영상의학교실, 화순전남대학교병원 영상의학과) ;
  • 허숙희 (전남대학교 의과대학 영상의학교실, 화순전남대학교병원 영상의학과) ;
  • 신상수 (전남대학교 의과대학 영상의학교실, 전남대학교병원 영상의학과) ;
  • 정용연 (전남대학교 의과대학 영상의학교실, 화순전남대학교병원 영상의학과) ;
  • 강형근 (전남대학교 의과대학 영상의학교실, 화순전남대학교병원 영상의학과) ;
  • 최유덕 (전남대학교 의과대학 병리학교실, 전남대학교병원 병리과)
  • Heo, Tae-Wook (Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hospital) ;
  • Kim, Jin-Woong (Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hwasun Hospital) ;
  • Heo, Suk-Hee (Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hwasun Hospital) ;
  • Shin, Sang-Soo (Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hospital) ;
  • Jeong, Yong-Yeon (Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hwasun Hospital) ;
  • Kang, Heoung-Keun (Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hwasun Hospital) ;
  • Choi, Yoo-Duk (Department of Pathology, Chonnam National University Medical School, Chonnam National University Hospital)
  • 투고 : 2010.02.02
  • 심사 : 2010.04.21
  • 발행 : 2010.08.01

초록

췌장의 원발림프암은 매우 드물어 특징적인 영상소견은 잘 알려져 있지 않으나 췌관선암종과는 달리 췌관의 확장이 드물고 종괴 내부에 괴사를 잘 동반하지 않는다고 알려져 있다. 우리는 심한 췌관 및 총담관의 확장과 종괴 내 괴사를 동반하였던 27세 남자의 원발췌장림프암의 전산화단층촬영(CT) 및 자기공명영상(MR)소견을 보고하고자 한다.

Primary pancreatic lymphoma is extremely rare and usually consists of a bulky tumor without internal necrosis and severe dilatation of the pancreatic duct. We report the unusual CT and MRI findings of a primary pancreatic lymphoma in a 27-years-old man, associated with severe dilatation of the pancreatic duct, common bile duct, and internal necrosis.

키워드

참고문헌

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