후천성 면역 결핍증 환자에서 위, 십이지장을 침범한 카포시 육종 1예 |
문희석·박기오·이엄석·김선문·성재규·김연숙·송규상*·정현용 |
충남대학교 의과대학 내과학교실, *병리학교실 |
A Case of Kaposi's Sarcoma of the Stomach and Duodenum in an AIDS Patient |
Hee Seok Moon, M.D., Ki Oh Park, M.D., Yeum Seok Lee, M.D., Sun Moon Kim, M.D., Jae Kyu Sung, M.D., Yean Sook Kim, M.D., Geu Sang Song, M.D.* and Hyun Yong Jeong, M.D. |
Departments of Internal Medicine and *Pathology, Chungnam National University College of Medicine, Daejeon, Korea |
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Abstract |
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Kaposi's sarcoma, a rare tumor, usually presents itself with skin lesions. There is, however, an increased incidence in patients using immunosupressive drugs and with the acquired immunodeficiency syndrome (AIDS). Gastrointestinal Kaposi's sarcoma is usually asymptomatic, but may cause massive intestinal hemorrhage, perforation, intestinal obstruction, intussusception, protein-losing enteropathy, or sepsis. The gastroscopic appearances of Kaposi's sarcoma range from reddish purple maculopapules to polypoid, umbilicated nodule. In Korea, 3 case's of gastrointestinal kaposi's sarcoma have been reported so far. We experienced a 45-year-old man, who was positive for human immunodeficiency virus (HIV) antibodiy and developed Kaposi's sarcoma. A case of gastrointestinal Kaposi's sarcoma treated with paclitaxel is herein reported with the endoscopic findings before and after chemotherapy. |
Key Words:
AIDS, Gastrointestinal kaposi's sarcoma |
주요어:
후천성 면역결핍 증후군(AIDS), 위장관 Kaposi 육종 |
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