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KMID : 0870420030070010160
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2003 Volume.7 No. 1 p.160 ~ p.163
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Periampullary Duodenal Carcinoid Tumor with Complicated Pancreatic Pseudocyst
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Kim Jung-Chul
Lee Ho-Young
Koh Yang-Seok
Ju Jae-Kyun
Cho Chol-Kyoon
Kim Hyun-Jong
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Abstract
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Most patients with duodenal carcinoids are asymptomatic or suffer from nonspecific symptoms. But the tumors in the periampullary region may be associated with symptom of obstruction related to the size of the lesion. Two serial internal dranage procedures (cystogastrostomy and cystojejunostomy) were performed in a 46-year-old man because of recurred pancreatic pseudocyst at an interval of five months. Eight months after the first operation, an abdominal CT showed a remained pancreatic pseudocyst. And duodenoscopic findings showed a luminally protrusing mass, with preserved mucosa at the second portion of duodenum. Local resection of the mass was performed. Grossly, the mass had a 2㎝-sized, well circumscribed yellowish appearance. Microscopic findings showed well-defined intramucosal mass having almost glandular and nest of tumor cells showing uniform round nuclei, glandular and basophilic cytoplasm. And the nonspecific neuroendocrine makers chromogranin and NSE are positive. We report a case of Periampullary duodenal carcinoid tumor with complicated pancreatic pseudocyst.
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KEYWORD
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Periampullary, Carcinoid tumor, Pancreatic Pseudocyst
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