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근치적 절제술을 시행한 바터씨 팽대부암에서 Ki-67과 VEGF의 예후인자로서의 가능성
김국진(Kuk Jin Kim),홍순원(Soon Won Hong),박준성(Joon Seong Park),황호경(Ho Kyung Hwang),김재근(Jae Keun Kim),김경식(Kyung Sik Kim),최진섭(Jin Sub Choi),윤동섭(Dong Sup Yoon),이우정(Woo Jung Lee),지훈상(Hoon Sang Chi) 한국간담췌외과학회 2008 한국간담췌외과학회지 Vol.12 No.3
Purpose: Ampulla of Vater cancer has a more favorable prognosis and survival than other malignant periampullary tumors. The pathologic staging of ampulla of Vater carcinoma is a key determinant of the patient’s prognosis. However, we have often encountered patients in whom the course of their disease differed substantially from what would be predicted based on their clinical staging, which highlights the need to consider additional predictive factors. We applied an immunohistochemical technique to examine the expression of Ki-67 and VEGF in radicallyresected ampulla of Vater carcinomas, and then compared the status of expression with several clinicopathologic factors. Methods: Sixty-four patients who underwent curative resection for ampulla of Vater cancer between January 1992 and December 2006 at the Yonsei University College of Medicine were reviewed. The relationships between the expression of molecular markers and clinicopathologic factors were determined. Results: There was no relationship between the clinicopathologic characteristics and the expression of molecular markers in patients with ampulla of Vater cancer. Among the clinicopathologic characteristics, lymph node metastasis was identified as an independent factor of survival after curative resection for ampulla of Vater carcinoma. Conclusion: Measurement of Ki-67 and VEGF in patients with ampulla of Vater carcinoma may have an important role in identifying the poor prognostic group.
Jeong, Byung-Kwan,Sung, You Na,Kim, Sung Joo,An, Soyeon,Park, Hosub,Hwang, Hee Sang,Kang, Hyo Jeong,Lee, Jae Hoon,Song, Ki Byung,Kim, Kyu-pyo,Hwang, Dae Wook,Lee, Sang Soo,Kim, Song Cheol,Hong, Seung- Elsevier 2019 Human pathology Vol.84 No.-
<P><B>Summary</B></P> <P>Identifying the accurate origin of periampullary cancers is important because different origins may trigger different clinicopathological behaviors. The presence of intraepithelial precursor lesions, including high-grade pancreatic intraepithelial neoplasias (PanINs) and/or high-grade biliary intraepithelial neoplasias (BilINs), may be suggestive of the origin of the periampullary carcinoma in challenging cases. To prove the usefulness of high-grade intraepithelial precursor lesions in identifying the origin of ambiguous periampullary cancers, the status and grades of PanINs and BilINs were evaluated in 256 periampullary carcinomas with a well-defined cancer origin as a test set, including 114 pancreatic cancers, 82 distal bile duct cancers, 54 ampullary cancers, and 6 duodenal cancers. One hundred twelve periampullary carcinomas with clinically equivocal epicenter either by radiologic imaging or by endoscopic finding used as a validation set. High-grade PanINs were found more commonly in pancreatic cancers than in distal bile duct, ampullary, and duodenal cancers both in test (<I>P</I> = .002) and validation sets (<I>P</I> < .001). Similarly, high-grade BilINs were identified more frequently in distal bile duct cancers than in ampullary, pancreatic, and duodenal cancers both in test (<I>P</I> < .001) and validation sets (<I>P</I> = .039). High-grade PanINs were found most commonly in pancreatic cancers, whereas high-grade BilINs were seen most frequently in distal bile duct cancers. In addition, both high-grade PanINs and high-grade BilINs are uncommonly noted in ampullary or duodenal cancers. The recognition of high-grade intraepithelial lesions can help identify the primary origin of periampullary cancers, especially when the epicenter of the periampullary cancer is ambiguous.</P> <P><B>Highlights</B></P> <P> <UL> <LI> High-grade PanINs are found most commonly in pancreatic cancers. </LI> <LI> High-grade BilINs are seen most frequently in distal bile duct cancers. </LI> <LI> Recognition of high-grade PanINs or BilINs helps identify origins of periampullary cancers. </LI> </UL> </P>
증례 : 소화기 ; 바터 팽대부에 동시에 병발한 선암과 신경내분비형 소세포암 1예
김현석 ( Hyun Sock Kim ),김홍주 ( Hong Joo Kim ),김화목 ( Hwa Mok Kim ),김창준 ( Chang Joon Kim ),손진희 ( Jin Hee Sohn ),채승완 ( Seoung Wan Chae ) 대한내과학회 2009 대한내과학회지 Vol.76 No.1
바터팽대부암 중 가장 흔한 것은 선암이다. 하지만 이외에도 선종, 낭선종, 신경내분비종양 등이 발생할 수 있으며, 이에 대한 보고는 국내외를 통해서 매우 드문 것으로 알려져 있다. 본 사례는 선암과 소세포암이 같이 발병한 드문 경우로서, 치료와 예후에 있어서 소세포암이 불량한 예후를 보여 수술 후 적극적인 항암화학치료가 권장되었다. Small cell carcinoma in the ampulla of Vater is rare, and the concurrent occurrence of adenocarcinoma and small cell carcinoma is extremely rare. We report the case of a double primary tumor, adenocarcinoma and small cell carcinoma, in the ampulla of Vater. (Korean J Med 76:70-73, 2009)
김동익,박상욱,이금수,정경윤,정현진,문형철,홍건영,임연근 대한소화기내시경학회 2010 Clinical Endoscopy Vol.41 No.4
소화관에서 주로 발생하는 반지 세포암은 대부분은 위에서 발생하며, 바터 팽대부에서 발생하는 경우는 극히 드물어 지금까지 16예 정도가 보고되었다. 47세의 남자가 10일 전부터 발생한 상복부 통증과 황달을 주소로 내원하였다. 컴퓨터 단층촬영과 초음파 검사에서 총담관 및 간내담관의 확장 소견이 관찰되었다. 십이지장경 검사에서 바터 팽대부에 불규칙한 표면을 가진 종괴가 돌출되어 있었고 조직 검사에서 반지 세포암으로 진단되었다. 3차 병원으로 전원하여 수술을 시도했으나 림프절 전이가 발견되어 근치적 수술을 하지 못하고 항암 치료 및 스텐트 삽입을 통한 담즙배액 등을 시행하였으며 발병 1년 후 사망 하였다. 저자들은 바터 팽대부에 발생한 반지 세포암 1예를 경험하여 문헌고찰과 함께 보고한다. Signet-ring cell carcinoma of the ampulla of Vater is so rare that only 16 cases have been reported. Here we report a case of a 47-year-old man with signet-ring cell carcinoma in the ampulla of Vater. The patient was hospitalized for right upper quadrant abdominal pain and jaundice which had developed 10 days prior. Computed tomography (CT) and ultrasonography (US) revealed dilatation of the common bile duct and the intrahepatic bile duct. On duodenoscopy, a bulging mass with an irregular margin in the major papilla was noted. Histologic findings showed a signet-ring cell carcinoma. Surgical resection was not done because lymph node metastasis was noted during the operation. Hence, conservative treatment including chemotherapy and bile drainage was done.
박홍배(Hong Bae Park),김순호(Soon Ho Kim),여향순(Hyang Soon Yeo),오필석(Phill Seok Oh),이상석(Sang Seok Lee),김종관(Jong Kwan Kim) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.3
Double primary cancer is defined as the case of primary multiple tumors of different site origins, which are different histologically in each other. We experienced a 55-year old man who had indigestion for 1 month. On physical examination, soft palate ulcer was detected, so biopsy was done under laryngoscope. Gastrofiberscopy shows nodulo-ulcerative enlarged ampulla of vater and then, biopsy was done. Its result were soft palate squamous cell carcinoma and ampulla of vater adenocarcinoma. For its great rarity, we report this case with view of literature. The absolute number of reported cases of double primary malignant tumors has increased in recent years by means of more developed diagnostic procedure. So, every effort should be made to discover other occult malignancies in patient who is being detected for a tumor and especially panendoscopies (gastrofiberoptic endoscopy, laryn- goscopy, bronchoscopy) in all cases of carcinoma of upper aerodigestive system play a vital part in a complete evaluation of all such cases, especially soft palate carcinoma.
분할췌장을 동반하지 않은 바터씨 팽대부 종양에서 관찰된 산토리니류 1예
차상우,이문성 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Santorinicele has been used to describe a focal dilatation of the terminal portion of the dorsal pancreatic duct at the minor papilla. The prevalence of this rare anomaly is unknown, and it is unclear whether it is congenital in origin or an acquired lesion secondary to stenosis of the dorsal duct orifice. Because most of all cases reported to date have been associated with pancreatic divisum, it has been assumed that santorinicele is related to the obstruction of pancreatic outflow and resultant pancreatitis that occurs in pancreatic divisum. A case of asntorinicele in a patient with ampulla of Vater cancer without pancreatic divisum is presented.
최성훈,황호경,강창무,이우정 한국간담췌외과학회 2010 한국간담췌외과학회지 Vol.14 No.3
Annular pancreas is a rare congenital anomaly that consists of a ring of pancreatic tissue partially or completely encircling the descending portion of the duodenum. Coexisting ampullary carcinoma in annular pancreas combined with anomaly of hepatic artery or bile duct are thought to be extremely rare. Two consecutive cases of ampullary carcinoma in annular pancreas with bile duct or hepatic artery anomaly are described. In addition, English literature reports of coexisting ampullary carcinoma in annular pancreas are summarized. Clinical symptoms of the two patients were jaundice and abdominal discomfort. The two ampullary cancers were early adenocarcinomas in the ampulla of Vater that were curatively treated by pylorus preserving pancreaticoduodenectomy. Ampullary carcinoma associated with annular pancreas is rare. Its combination with an additional biliary or hepatic artery anomaly make our cases extremely unique. Certain aberrant events in the overall stages of the development of the liver, bile duct, and pancreas may have occurred in these patients. Surgeons need to note preoperatively these possible associated anatomic variations.
간담췌 종양에 대한 American Joint Committee on Cancer (AJCC) 종양 병기 7판 소개
유희철(Hee Chul Yu) 한국간담췌외과학회 2010 한국간담췌외과학회지 Vol.14 No.2
The tumor node metastasis (TNM) system, which was developed by the American Joint Committee on Cancer (AJCC), is the most practical cancer staging system available. The AJCC TNM staging has been modified periodically in response to newly acquired clinical information and data on prognosis. The seventh edition of this system was published in late 2009 and the manual is effective for cancers diagnosed during or after 2010. There are 9 new classifications, 6 major modifications, elimination of cMX (metastasis cannot be assessed clinically), and there is an introduction to anatomical stages and prognostic groupings. But, compared to the 6<SUP>th</SUP> edition, there are no remarkable changes regarding ampulla of Vater and pancreatic cancer, except that neuroendocrine tumors of the pancreas now is staged as a carcinoma.
Soon Hoon Choi,Ho Kyung Hwang,Chang Moo Kang,Woo Jung Lee 한국간담췌외과학회 2010 한국간담췌외과학회지 Vol.14 No.3
Annular pancreas is a rare congenital anomaly that consists of a ring of pancreatic tissue partially or completely encircling the descending portion of the duodenum. Coexisting ampullary carcinoma in annular pancreas combined with anomaly of hepatic artery or bile duct are thought to be extremely rare. Two consecutive cases of ampullary carcinoma in annular pancreas with bile duct or hepatic artery anomaly are described. In addition, English literature reports of coexisting ampullary carcinoma in annular pancreas are summarized. Clinical symptoms of the two patients were jaundice and abdominal discomfort. The two ampullary cancers were early adenocarcinomas in the ampulla of Vater that were curatively treated by pylorus preserving pancreaticoduodenectomy. Ampullary carcinoma associated with annular pancreas is rare. Its combination with an additional biliary or hepatic artery anomaly make our cases extremely unique. Certain aberrant events in the overall stages of the development of the liver, bile duct, and pancreas may have occurred in these patients. Surgeons need to note preoperatively these possible associated anatomic variations.