정상 면역 환자에서 발생한 진행성 위암으로 오인된 거대세포바이러스에 의한 위궤양 1예 |
편래현·고광현·김에스더·곽선영·홍성표·황성규·박필원·임규성·강혜윤* |
포천중문 의과대학교 내과학교실, *병리학교실 |
A Case of Cytomegalovirus Gastric Ulcer Mimicking Gastric Cancer in an |
Lae Hyun Phyun, M.D., Kwang Hyun Ko, M.D., Esther Kim, M.D., Sun Young Kwak, M.D., |
Departments of Internal Medicine and *Pathology, College of Medicine, Pochon CHA |
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Abstract |
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A 27-year-old woman presented with epigastric pain. Abdominal computed tomography
revealed an irregular ulcer with circumferential thickening of the gastric antral wall. An endoscopy
suggested advanced gastric cancer or gastric lymphoma. Biopsy of the lesion showed an inclusion
body of the cytomegalovirus and positive immunohistochemical staining of the infected cell for
cytomegalovirus. A thorough evaluation of her immune system revealed no abnormality. General
supportive treatment for gastric ulcer did not relieve her symptoms. Intravenous infusion of
ganciclovir improved her symptoms and healed the ulcer. We report a case of
cytomegalovirus-associated gastric ulcer mimicking malignancy in an immunocompetent woman.
(Korean J Gastrointest Endosc 2004;28: 9296) |
Key Words:
Cytomegalovirus, Stomach ulcer, Immunocompetent host |
주요어:
거대세포바이러스, 정상 면역, 위궤양 |
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