A Case of Gastric Mucinous Adenocarcinoma Presenting as a Characteristic Mucin Pool

Korean J Gastrointest Endosc > Volume 27(1); 2003 > Article

Korean Journal of Gastrointestinal Endoscopy 2003;27(1): 38-41.

특징적인 점액호 양상을 보인 위 점액 선암 1예

남대익·백일현·고진석·김지수·김명식·이명석·조지웅*·신상준^†·안혜경^‡

한림대학교 의과대학 내과학교실, *일반외과학교실, ^†방사선과학교실, ^‡병리학교실

A Case of Gastric Mucinous Adenocarcinoma Presenting as a Characteristic Mucin Pool

Dae Ik Nam, M.D., Ilhyun Baek, M.D., Jin Seok Ko, M.D., Jee Soo Kim, M.D., Myong Sik Kim, M.D., Myung Seok Lee, M.D., Ji Woong Cho, M.D.*, Sang June Shin, M.D.^†and Hye Kyung Ahn, M.D.^‡

Departments of Internal Medicine, *General Surgery, ^†Radiology and ^‡Pathology, Hallym University College of Medicine, Seoul, Korea

Abstract

Mucinous adenocarcinoma is a rare histologic type of gastric carcinoma. Most mucinous gastric carcinoma is diagnosed by histology after surgical resection. However, in this report, we preoperatively predicted the type of a tumor (mucinous type) from its characteristic endoscopic finding. An endoscopic examination showed a cauliflower-like mass on the upper body of the posterior wall. At first we could not find the mass because it was covered with a thick mucin-like substance. After gastric lavage and mucin aspiration we found a tumor mass which was surrounded with a characteristic mucin pool. Abdominal CT showed a 6 cm sized-mass connected with the gastric fundus. Total gastrectomy with esophagojejunostomy was performed. The pathology of the tumor proved to be a mucinous adenocarcinoma. (Korean J Gastrointest Endosc 2003;27:38⁣41)

Key Words: Mucinous adenocarcinoma, Mucin pool

주요어: 점액 선암, 점액호