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의약학 > 내과학
저자
김영훈 ( Young Hoon Kim ) , 정지봉 ( Ji Bong Jeong ) , 주세경 ( Sae Kyung Joo ) , 최민영 ( Min Young Choi ) , 이국래 ( Kook Lae Lee ) , 장미수 ( Mee Soo Chang ) , 안영준 ( Young Joon Ahn )
발행기관
대한내과학회
간행물정보
Korean Journal of Medicine(구 대한내과학회지) 2013년, 제85권 제2호, 183~187페이지(총5페이지)
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42847861.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    We herein report a case of large cell neuroendocrine carcinoma (NEC) of the gallbladder confirmed by laparoscopic surgery. A 60-year-old male was HBsAg-positive. Abdominal computed tomography showed a 2.5 × 2.5 cm enhancing polypoid mass in the gallbladder and multiple masses in liver segments 4 and 5 that enhanced in the arterial phase and washed out in the delayed phase. Liver biopsy findings showed only poorly differentiated morphology. A laparoscopic operation was performed for diagnosis of the masses because curative resection seemed impossible to perform, which showed unusual findings of either hepatocelluar carcinoma or gallbladder cancer. Therefore, laparoscopic liver biopsy and cholecystectomy were performed. The final pathologic results of the masses showed large cell NEC of the gallbladder with liver metastasis. Central bisegmentectomy and extensive lymph node dissection were ultimately performed. The patient was still alive 16 months after diagnosis. (Korean J Med 2013;85:183 187)
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