Korean Journal of Gastrointestinal Endoscopy 2000;20(6): 460-463.
증례 : 점막하 종양상을 보인 위궤양반흔 2예의 내시경적 초음파 단층촬영술상 ( Endosonographic Findings of Submucosal Tumor-like Gastric Lesion Caused by Fibrotic Ulcer Healing )
김명수(Myung Soo Kim),김진오(Jin Oh Kim),윤동진(Dong Jin Youn),한찬희(Chan Hee Han),조주영(Joo Young Cho),이준성(Joog Seong Lee),이문성(Moon Sung Lee),심찬섭(Chan Sup Shim),윤영근(Young Keun Yoon),권광안(Gwang An Kwun)
Abstract
It is known that multiple ulcers of the gastric antrum are often accompanied by marked submucosal fibrosis during the healing process, and that this may result in a deformity of the gastric wall. Thus, benign antral ulcers may be misinterpreted as intramural tumors, or even malignant ulcers when the surrounding edema is pronounced and sharply defined. It is possible for an endoscopic ultrasonography (EUS) to detect which layer has a submucosal tumor (SMT) in the five-layer structures of the digestive tract wall. In the diagnosis of SMT of the upper digestive tract, EUS allows for the visualization of the structures underlying the gastrointestinal wall in a noninvasive manner and has a great advantage over conventional modalities such as endoscopy and X-ray examination. The EUS findings of 2 cases of submucosal tumor-like gastric lesion caused by fibrotic ulcer healing are herein reported with a brief review of relevant literature. (Korean J Gastrointest Endosc 2000;20:460-463)
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