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EndoTODAY 내시경 교실

[SmallTODAY 021 - Duodenal carcinoid treated by surgery]

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함몰형 십이지장 유암종으로 내시경 절제가 쉽지 않은 모양이었습니다. 조직검사 결과도 neuroendocrine tumor with suspicious tumor emboli였습니다. 수술을 하였습니다.

Well-differentiated neuroendocrine tumor (G1)
1. Name of Procedure: Duodenal wedge resection
2. Site of Tumor: Duodenum
3. Diagnosis: Neuroendocrine tumor
4. WHO classification(2010): Neuroendocrine tumor(G1)
5. Multiplicity: Single
6. Size: 0.7x0.4 cm
7. Extent: Mucosa and submucosa
8. Grading: Mitotic Count: 0-1/10HPF, Ki-67 labeling index: G1<2%
9. Immunohistochemical Stains: Synaptophysin : Positive, Chromogranin A: Positive
10. Lymphovascular invasion: Not identified
11. Perineural invasion: Not identified
12. Lymph node metastasis: not evaluated
13. Resection Margins: Negative, Safety margin : 1 cm

[References]

1) EsoTODAY - 십이지장질환 증례토의

2) SmallTODAY - 소장질환 증례토의

3) ColonTODAY - 대장질환 증례토의

4) Dr. Sinn's LiverTODAY - 간질환 증례토의

© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.