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[½ÊÀÌÁöÀå±Ë¾çÀÌ ¾Æ´Õ´Ï´Ù (2). Zollinger-Ellison syndrome (ZES)]

ÃâÇ÷¼º ½ÊÀÌÁöÀå ±Ë¾çÀÇ °ú°Å·ÂÀ» °¡Áø  ŒÀº ºÐ¿¡¼­ ¹ß°ßµÈ ½ÊÀÌÁöÀå º´¼ÒÀÔ´Ï´Ù. ¾îÁ¦ Áõ·Ê¿Í À¯»çÇÑ ¹Ì¶õ¼º ½ÊÀÌÁöÀå¿°À̶ó°í º¼ ¼ö ÀÖ½À´Ï´Ù. ±×·¯³ª ÁÖÀÇ°¡ ÇÊ¿äÇÕ´Ï´Ù.

[Áõ·Ê 1] ¶Ñ·ÇÇÑ ¿øÀÎ ¾øÀÌ ½ÊÀÌÁöÀå ±Ë¾çÀ̳ª ½ÉÇÑ ¹Ì¶õ¼º ½ÊÀÌÁöÀå¿°ÀÌ ¹Ýº¹µÇ¸é Zollingr-Ellison syndrome (ZES)À» ÀǽÉÇØ¾ß ÇÕ´Ï´Ù. ½ÊÀÌÁöÀå gastrinoma°¡ hepatic metastasis¸¦ º¸¿´´ø °æ¿ìÀÔ´Ï´Ù.

[Áõ·Ê 2] ¼ö³â ÀüºÎÅÍ ¹Ýº¹µÇ´Â ÃâÇ÷¼º ½ÊÀÌÁöÀå±Ë¾ç°ú ¹Ì¶õ¼º½ÊÀÌÁöÀå¿°À¸·Î ÀÇ·ÚµÈ ºÐÀÔ´Ï´Ù. Serum gastrinÀº 200À̾ú½À´Ï´Ù. ½ÊÀÌÁöÀå Á¦ 2ºÎ¿¡¼­ enhancment°¡ Àß µÇ´Â Á¾¾çÀ» ¹ß°ßÇÏ¿´½À´Ï´Ù. ¼ö¼ú·Î ÀýÁ¦ÇÏ¿© gastrinoma¿¡ ÇÕ´çÇÑ neuroendocrine tumor¶ó´Â °á·ÐÀ» ¾ò¾ú½À´Ï´Ù. Serum gastrin ¼öÄ¡°¡ º¸ÅëÀÇ ZES º¸´Ù ³·¾Ò½À´Ï´Ù.


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