내시경하 초음파검사로 진단된 대장에 |
이종협·정민규·김은수·김태석·이승엽·김영탁·이영학 |
경북대학교 의과대학 내과학교실, *해부병리학교실 |
Cystic Lymphangioma of the Colon: Diagnosed by Endoscopic Ultrasonography |
Jong-Hyup Lee, M.D., Min-Kyu Chung, M.D., Eun Soo Kim, M.D., Tae-Suk Kim, M.D., Seung-Yup Lee, M.D., |
Division of Gastroenterology, Departments of Internal Medicine and *Pathology, |
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Abstract |
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Lymphangioma occasionally occurs in gastrointestinal tract, small intestine and mesentery. Cystic lymphangioma is a rare cause of colonic submucosal mass. Endoscopic ultrasonography is very valuable in differential diagnosis of colonic submucosal masses. A 61-year old woman visited our hospital due to lower abdominal pain for two months. In the colonoscopic examination, cystic mass which had smooth mucosal surface was noted at the ascending colon. Endoscopic ultrasonography showed anechoic, multicystic mass confined to the submucosa. The underlying muscularis propria was intact. Endoscopic resection, using a ligating device, was performed for histopathologic diagnosis and treatment. On the histopathologic examination, the cystically dilated spaces lined by endothelium and separated by fibrous septa were present in the submucosa. The histological diagnosis was cystic lymphangioma of the colon. (Korean J Gastrointest Endosc 2003;26:4347) |
Key Words:
Cystic lymphangiomam, Endoscopic ultrasonography, Endoscopic resection |
주요어:
낭종성 림프관종, 내시경하 초음파검사, 내시경하 절제술 |
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