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Korean J Pancreas Biliary Tract > Volume 18(3):2013 > Article
The Korean Journal of Pancreas and Biliary Tract 2013;18(3):52-58.
내시경적 절제술로 치료된 바터팽대부 신경절세포 부신경절종
양해민1, 박현우1, 김선주2, 조창민1, 정민규1
경북대학교 의학전문대학원 내과학 교실
A Gangliocytic Paraganglioma of the Ampulla of Vater Treated by Endoscopic Snare Papillectomy
Hae Min Yang1, Hyun Woo Park1, Sunzoo Kim2, Chang Min Cho1, Min Kyu Jung1
1Department of Internal Medicine, Kyungpook National University School of Medicine, 2Department of pathology, Kyungpook National University Hospital
ABSTRACT
Gangliocytic paraganglioma is an extremely rare tumor that is usually seen in the duodenum. It has unique histologic features composed of endocrine cells with a carcinoid-like appearance, isolated ganglion cells, and spindle-shaped Schwann cells. Generally, this tumor is considered benign, because only a few cases of regional lymph node metastases and local recurrence have been reported. But in most patients, resection, including pancreatoduodenectomy, was performed because preoperative diagnosis was difficult. We present a case of a gangliocytic paraganglioma of the ampulla of vater misdiagnosed as ampullary adenoma and treated with endoscopic papillectomy. The resected specimen revealed a gangliocytic paraganglioma. All margins of resection were negative for tumor. A size of the specimen was 2.0×1.3×1.0 cm. We present this case, because gangliocytic paraganglioma is a rare tumor, and it was successfully treated with endoscopic resection.
Keywords: Gangliocytic paraganglioma, Ampulla of Vater
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