담관낭선종 및 담관낭선암 3예
Three Cases of Biliary Cystadenoma and Biliary Cystadenocarcinoma
이준현, 이도상, 원종만, 진형민, 김욱, 김동구, 성기영, 박일영, 김진아,
소속 상세정보
이준현 ( Lee Jun-Hyun )
가톨릭대학교 의과대학 외과학교실
이도상 ( Lee Do-Sang )
가톨릭대학교 의과대학 외과학교실
원종만 ( Won Jong-Man )
가톨릭대학교 의과대학 외과학교실
진형민 ( Chin Hyung-Min )
가톨릭대학교 의과대학 외과학교실
김욱 ( Kim Wook )
가톨릭대학교 의과대학 외과학교실
김동구 ( Kim Dong-Goo )
가톨릭대학교 의과대학 외과학교실
성기영 ( Sung Ki-Young )
가톨릭대학교 의과대학 외과학교실
박일영 ( Park Il-Young )
가톨릭대학교 의과대학 외과학교실
김진아 ( Kim Jean-A )
가톨릭대학교 의과대학 병리학교실
KMID : 0371320030640010084
Abstract
A biliary cystadenoma and a cystadenocarcinoma are rare intrahepatic cystic neoplasm. The clinical feature is not marked but abdominal fullness and mass are the most common symptoms. The tumor is commonly a large multilocular cystic mass which requires hepatectomy for cure. We experienced one case of biliary cystadenoma and two cases of biliary cystadenocarcinoma. The biliary cystadenoma case was a 58-year-old female with right upper quadrant discomfort for 5 months and a 17 ㎝ sized multilocular cystic mass. The serum CA 125 level was elevated but returned to normal level after resection. A right hepatectomy was performed and the patient has had no recurrence for 14 months after the resection. One of the biliary cystadenocarcinoma cases was a 42-year-old man with a 12 ㎝ sized multilocular cystic mass in the right upper quadrant of his abdomen. A right hepatectomy was performed and the patient has had no recurrence for 12 months after the resection. The other biliary cystadenocarcinoma case was a 70-year-old man with right upper quadrant pain and a 5 ㎝ sized cystic mass. A left hepatecomy was performed and the patient has had no recurrence for 8 month after the resection. The treatment of choice for a biliary cystadenoma or cystadenocarcinoma is complete resection. We report three cases of biliary cystadenoma and cystadenocarcinoma with a review of the literature.
키워드
담관낭선종; 담관낭선암; 간절제
Biliary cystadenoma;Biliary cystadenocarcinoma;Hepatectomy
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