Korean J Med > Volume 74(6); 2008 > Article
The Korean Journal of Medicine 2008;74(6):663-666.
A case of asymptomatic gastric ectopic pancreas associated with elevated serum CA 19-9
Hyung-Il Kim, Chang-Hwan Park, Chung-Hwan Jun, Gi-Hoon Lee, Hyun-Soo Kim, Sung-Kyu Choi, Jong-Sun Rew
경희대학교 의과대학 순환기내과학교실
증례 : CA 19-9 상승을 동반한 무증상의 위 이소성 췌장
김형일, 박창환, 전충환, 이기훈, 김현수, 최성규, 유종선
Abstract
Ectopic pancreas is an uncommon clinical finding, and it is rare for heterotopic pancreatic tissue to cause symptoms. The most common sites for ectopic pancreas are the submucosal layer of the stomach and the small intestine. An ectopic pancreas is subject to various pathological changes occurring in the pancreas itself, namely cyst, pancreatitis, hemorrhage, abscess, necrosis, and neoplastic changes. We report a case of a gastric ectopic pancreas associated with elevated serum carbohydrate antigen 19-9 (CA 19-9). We performed endoscopic submucosal dissection for histologic diagnosis and removal of the submucosal tumor in the stomach, and histological examination confirmed ectopic pancreas tissue. One months later, serum CA 19-9 declined to a normal level.
Key Words: Ectopic pancreas; Endoscopic submucosal dissection; CA 19-9


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