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Mixed Adenoneuroendocrine Carcinoma of the Small Bowel in a Patient with Crohn's Disease: A Case Report
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±è±¤¹Î ( Kim Kwang-Min )
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¹è°æÀº ( Bae Kyung-Eun )
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±èÀçÇü ( Kim Jae-Hyung )
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Á¤¹ÎÁ¤ ( Jeong Min-Jeong )
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±è¼ºÈñ ( Kim Soung-Hee )
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±èÁö¿µ ( Kim Ji-Young )
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±è¼öÇö ( Kim Soo-Hyun )
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ÀÌÁöÇý ( Lee Ji-Hae )
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°¹ÌÁø ( Kang Mi-Jin )
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±èÅÂ±Ô ( Kim Tae-Gyu )
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Abstract
È¥ÇÕ ½Å°æ³»ºÐºñ¼±¾ÏÀº ¿ÜºÐºñ»ù ±×¸®°í ½Å°æ³»ºÐºñ ¿ä¼Ò¸¦ ¸ðµÎ °®°í ÀÖ´Â À§Àå°üÀÇ ¸Å¿ì µå¹® Á¾¾çÀÌ´Ù. Àå±â°£ Å©·Ðº´À» ¾Î¾Ò´ø ȯÀÚÀÇ ¼ÒÀå¿¡¼ ÀÌ È¥ÇÕ Á¾¾çÀÌ ¹ß»ýÇÑ °æ¿ì´Â 5¿¹ÀÇ Áõ·Ê º¸°í¸¸ÀÌ ÀÖÀ» »ÓÀÌ´Ù. ÀÌ¿¡ ÀúÀÚ´Â ºñ±ÕÁúÇÏ°Ô Á¶¿µÁõ°µÇ´Â ºñ´ëĪÀûÀÎ ¼ÒÀåÀÇ À庮ºñÈÄ¿Í ¼ÒÀåÆó»öÀÇ ÇüÅ·Π³ªÅ¸³ª, ¼ö¼ú Àü °¨º°Áø´ÜÀÌ ¾î·Á¿ü´ø 54¼¼ Å©·Ðº´ ȯÀÚ¿¡¼ ¹ß»ýÇÑ ¼ÒÀåÀÇ È¥ÇÕ ½Å°æ³»ºÐºñ¼±¾ÏÀÇ Áõ·Ê¸¦ º¸°íÇÏ°íÀÚ ÇÑ´Ù.
Mixed adenoneuroendocrine carcinoma (MANEC) is a rare tumor of the gastrointestinal tract that has both exocrine and neuroendocrine components. There are only 5 case reports about this combined tumor in the small bowel, arose in a background of long-standing Crohn's disease. Here, we report a case of small bowel MANEC in a 54-year-old male with Crohn's disease, who presented a heterogeneous enhancing, asymmetric small bowel wall thickening with small bowel obstruction and had a difficulty in differential diagnosis before surgery.
Å°¿öµå
Crohn Disease; Intestinal Neoplasms; Neuroendocrine Tumors
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