The Korean Journal of Medicine

  • 제85권1호
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  • Pages.73-76
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  • 2013
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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총담관류에 동반되어 나타난 담낭암 1예

A Case of Gallbladder Cancer Associated with a Choledochocele

  • 배기탁 (인제대학교 의과대학 부산백병원 내과학교실) ;
  • 최정식 (인제대학교 의과대학 부산백병원 내과학교실) ;
  • 김영구 (인제대학교 의과대학 부산백병원 내과학교실) ;
  • 손한백 (인제대학교 의과대학 부산백병원 내과학교실) ;
  • 유종원 (인제대학교 의과대학 부산백병원 내과학교실) ;
  • 도웅정 (인제대학교 의과대학 부산백병원 내과학교실) ;
  • 박나영 (인제대학교 의과대학 부산백병원 내과학교실)
  • Bae, Ki Tak (Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine) ;
  • Choi, Jung Sik (Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine) ;
  • Kim, Young Gu (Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine) ;
  • Son, Han Baek (Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine) ;
  • Yu, Chong Won (Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine) ;
  • Do, Ung Jeong (Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine) ;
  • Park, Na Young (Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine)
  • 투고 : 2012.05.07
  • 심사 : 2012.07.26
  • 발행 : 2013.07.01
⟨ 이전 논문 다음 논문 ⟩

초록

이 증례는 소화 장애와 상복부 동통으로 내원한 환자에서 총담관류 및 담낭암을 진단한 경우이다. 내시경 역행 췌담관 조영술 등에서 총담관류를 진단하였을 때 담낭암을 비롯한 담관계 암의 동반 가능성이 있다는 점에서 이 증례는 시사하는 바가 있다. 더 나아가 총담관류를 발견하였을 때 내시경 초음파나 조직 생검의 시행을 고려하고 정기적인 초음파 또는 전산화 단층촬영 등을 통한 추적관찰이 필요하다.

Choledochal cysts are congenital lesions involving cystic dilatation of the bile ducts. The choledochocele, the rarest type of choledochal cyst, is a cystic dilatation of the distal common bile duct that protrudes into the duodenum. There have been few reports concerning malignancy in the biliary tree associated with choledochoceles. We recently experienced a case of a choledochocele with gallbladder cancer.

키워드

참고문헌

  1. Sarris GE, Tsang D. Choledochocele: case report, literature review, and a proposed classification. Surgery 1989;105: 408-414.
  2. Savader SJ, Benenati JF, Venbrux AC, et al. Choledochal cysts: classification and cholangiographic appearance. AJR Am J Roentgenol 1991;156:327-331. https://doi.org/10.2214/ajr.156.2.1898807
  3. Ozawa K, Yamada T, Matumoto Y, Tobe R. Carcinoma arising in a choledochocele. Cancer 1980;45:195-197. https://doi.org/10.1002/1097-0142(19800101)45:1<195::AID-CNCR2820450131>3.0.CO;2-S
  4. Ohtsuka T, Inoue K, Ohuchida J, et al. Carcinoma arising in choledochocele. Endoscopy 2001;33:614-619. https://doi.org/10.1055/s-2001-15324
  5. Lee DH, Kim JS, Kim JH, et al. A case of choledochocele associated with papillary adenocarcinoma. Korean J Gastrointest Endosc 2007;35:364-368.
  6. Schimpl G, Sauer H, Goriupp U, Becker H. Choledochocele: importance of histological evaluation. J Pediatr Surg 1993; 28:1562-1565. https://doi.org/10.1016/0022-3468(93)90097-5
  7. Lee CH, Seo DW, Moon K, et al. A case of choledochocele with malignant change. Korean J Med 2006;70:S156-160.
  8. Naga MI, Suleiman DN. Endoscopic management of choledochal cyst. Gastrointest Endosc 2004;59:427-432. https://doi.org/10.1016/S0016-5107(03)02367-8
  9. Horaguchi J, Fujita N, Kobayashi G, Noda Y, Ito K, Takasawa O. Clinical study of choledochocele: is it a risk factor for biliary malignancies? J Gastroenterol 2005;40: 396-401. https://doi.org/10.1007/s00535-005-1554-7
  10. Yamaguchi M. Congenital choledochal cyst: analysis of 1,433 patients in the Japanese literature. Am J Surg 1980; 140:653-657. https://doi.org/10.1016/0002-9610(80)90051-3

피인용 문헌

  1. A Case of Choledochocele with High-Grade Dysplasia vol.86, pp.6, 2013, https://doi.org/10.3904/kjm.2014.86.6.728