Korean Journal of Gastrointestinal Endoscopy 1999;19(5): 808-813.
조기 위암에 동반된 간내 다발성 과호산구성 농양 1예 ( A Case of Early Gastric Carcinoma Combined with Hypereosinophilic Multiple Liver Abscesses )
오흥석(Hung Sok Oh),박승철(Seung Chul Park),송상훈(Sang Hun Song),서기현(Ki Hyun Seo),김재한(Jae Han Kim),김완섭(Wan Seop Kim),오명진(Myung Jin Oh),정일권(Il Kwun Chung),김홍수(Hong Soo Kim),박상흠(Sang Heum Park),이문호(Moon Ho Lee),김선주(Sun Joo Kim)
Abstract
Eosinophilia is defined as the presence of more than 500 eosinophil/mL of blood and is common in the clinical condition such as parasite infestation, drug, allergy, hypereosinophilic syndrome, and malignant diseases. Determining the cause of eosinophilia may be one of the most frustrating endeavors in clinical medicine. Hepatic infiltration of eosinophils and microabscess formation are observed in many disorders. Gastric cancer and intestinal malignancies show frequent liver metastasis and blood eosinophilia. Several cases of an early gastric carcinoma (EGC) with metastasis of the liver have been reported. When multiple intrahepatic lesions of suspicious malignancy appear in radiologic study, clinicians must differentiate malignancy from benign diseases. A case is herein reported of a 56- year-old male patient with synchronously developed, multiple low density hepatic lesions with early gastric carcinoma. He was managed with systemic chemotherapy at another hospital, because he was diagnosed with distant metastasis of early gastric carcinoma. Upon operating these lesions were proved to be EGC combined with hypereosinophilic multiple liver abscesses. This case is herein reported with a review of relevant literatures. (Korean J Gastrointest Endosc 19: 808∼813, 1999)
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