Korean Journal of Gastrointestinal Endoscopy 1997;17(2): 187-193.
증례 : 식도 위장관 ; 조기위암으로 오인된 침윤성 진행성위암 1예 ( Case Reports : Esophagus , Stomach & Intestine ; Infiltrative Advanced Gastric Cancer Simulating Early Gastric Cancer - Case report - )
이종철, 이화영, 이풍렬, 김재준, 백승운, 오영륜, 고광철 (Jong Chul Rhee, Hwa Young Lee, Poong Lyul Rhee, Jae Jun Kim, Seung Woon Paik, Young Lyun Oh and Kwang Cheul Koh)
Abstract
Advanced gastric cancer simulating early gastric cancer is increasing tendcncy due to development of diagnostic technology. A 64-year-old woman was admitted for epigastric discomfort. Endoscopy showed a small white mucus coated erosion and peripheral mucosal nodurarity on greater curvature side of antrum. Biopsy was resulted in adenocarcinoma. An upper GI series and abdominal sonography were normal. At surgery, advanced gastric carcinoma, Borrmann localized type IV in background of early gastric carcinoma, prepyloric antrum along the greater curvature with infiltration to the muscle layer and multiple lymphatic tumor emboli in serosa and perigastric adipose tissue and neural invasion and metastasis to 12 out of 28 perigastric lymph nodes with extranodal extension. 3 months later, distant metastasis such as cervical lymph node, pleural effusion, pericardial effusion, peritoneal seeding and ascites were noticed. (Korean J Gastrointest Endosc 17: 187-191, 1997)
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