맹장에서 발생한 고립성 용종양 신경절 신경종
Solitary Polypoid Ganglioneuroma of the Cecum
박지영, 박경식, 강유나, 최미선,
소속 상세정보
박지영 ( Park Ji-Young )
계명대학교 의과대학 병리학교실
박경식 ( Park Kyung-Sik )
계명대학교 의과대학 내과학교실
강유나 ( Kang Yu-Na )
계명대학교 의과대학 병리학교실
최미선 ( Choe Mi-Sun )
계명대학교 의과대학 병리학교실
KMID : 0356720090250040264
Abstract
A ganglioneuroma is a very rare neoplasm in the gastrointestinal tract and consists of ganglion cells, nerve fibers, and supporting cells. A gastrointestinal ganglioneuroma is occasionally related to inherited diseases, like neurofibromatosis type I and multiple endocrine neoplasm type 2b. We have experienced a case of a solitary polypoid ganglioneuroma in the cecum of a patient with no history of inherited diseases. The patient was a 56-yr-old male who had suffered from dyspepsia for a year. On the colonoscopic examination, a sessile polyp, measuring 0.7×0.7 cm in greatest dimensions, was discovered and eliminated. The remaining large intestine was unremarkable. Microscopically, the polyp was composed of isolated or nested ganglion cells admixed with a proliferation of spindle cells in the mucosa and the submucosa. The background showed interspersed cystic glands in an expanded lamina propria. Immunohistochemically, the ganglion cells were positive for NSE and NeuN while the spindle cells demonstrated a positive response to S-100 protein. Since a ganglioneuroma has a benign nature, complete resection is the treatment of choice.
키워드
신경절 신경종;용종;맹장
Ganglioneuroma;Polyp;Cecum
원문 및 링크아웃 정보
등재저널 정보