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논문 기본 정보

자료유형
학술저널
저자정보
Song Dong Eun (University of Ulsan Asan Medical Center) Kwon Youngmee (University of Ulsan Asan Medical Center) Kim Kyu Rae (University of Ulsan Asan Medical Center) Oh Sung Tae (University of Ulsan Asan Medical Center) Kim Jung Sun (University of Ulsan Asan Medical Center)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.19 No.1
발행연도
2004.1
수록면
145 - 148 (4page)

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초록· 키워드

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A heterotopic pancreas in the gastrointestinal tract is mostly found incidentally and its malignant transformation is extremely rare. We describe the second case of ade-nocarcinoma arising in a gastric heterotopic pancreas of an asymptomatic 35-yr-old man in Korea. Esophagogastroduodenoscopy revealed a submucosal tumor with an irregular central umbilication in the gastric antrum. A wedge resection specimen demonstrated a submucosal oligolocular cystic mass (1.7 ×1.4 ×1.2 cm) with a solid portion. Microscopically, the cystic portion was composed of dilated pancreaticobil-iary type ducts with adjacent small foci of periductal glandular structures. The ade-nocarcinoma components in the solid area infiltrated the proper muscle and the over-lying mucosa of the stomach. The transitional area between the benign ductal struc-tures and the adenocarcinoma component was found. The follow-up course was uneventful 5 months postoperatively.

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