Most patients with duodenal carcinoids are asymptomatic or suffer from nonspecific symptoms. But the tumors in the periampullary region may be associated with symptoms 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 perfomed. Grossly, the mass had a 2 cm-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 markers chromogranin and NSE are positive. We report a case of Periampullary duodenal carcinoid tumor with complicated pancreatic pseudocyst.
Basophils ; Carcinoid Tumor* ; Cytoplasm ; Duodenum ; Humans ; Middle Aged ; Mucous Membrane ; Pancreatic Pseudocyst* ; Tomography, X-Ray Computed

Human hydatid cyst of the liver is rare in Korea, although it is the most frequent cause of liver cysts in the world. It is endemic in Greece, other parts of Eastern Europe, South America, Australia, and South Africa. Until now, a few cases have been reported in the Korean literature. But it is expected to confront this disease because of recent increase in traveling to the endemic area. With this trend, we experienced a case of hydatid cyst of the liver in a 66- year-old male patient who had been worked in the middle east for 4 years. In this clinical case report, we present all the patient course and treatment with brief review of previous literature.
Australia ; Echinococcosis* ; Europe, Eastern ; Greece ; Humans ; Korea ; Liver* ; Male ; Middle East ; South Africa ; South America

A metastatic carcinoma of the small intestine is rare. Here, the case study of an 80-year-old lung carcinoma patient, with generalized peritonitis due to neoplastic perforation of the small intestine is reported. Pathological studies of a small intestinal mass revealed a metastatic anaplastic carcinoma arising from the lung. Patients with known lung carcinoma, who develop abdominal complaints, should be examined thoroughly. Although it is very difficult to diagnose and treat a metastatic carcinoma of the small intestine, in our judgment, with a greater awareness of this neoplasm, more cases may be diagnosed in the early stages, leading to improved rates of survival.
Aged, 80 and over ; Carcinoma* ; Humans ; Intestine, Small* ; Judgment ; Lung Neoplasms ; Lung* ; Neoplasm Metastasis ; Peritonitis