Korean J Gastrointest Endosc > Volume 28(2); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;28(2): 92-96.
정상 면역 환자에서 발생한 진행성 위암으로 오인된 거대세포바이러스에 의한 위궤양 1예
포천중문 의과대학교 내과학교실, *병리학교실
A Case of Cytomegalovirus Gastric Ulcer Mimicking Gastric Cancer in an
Lae Hyun Phyun, M.D., Kwang Hyun Ko, M.D., Esther Kim, M.D., Sun Young Kwak, M.D.,
Departments of Internal Medicine and *Pathology, College of Medicine, Pochon CHA
A 27-year-old woman presented with epigastric pain. Abdominal computed tomography revealed an irregular ulcer with circumferential thickening of the gastric antral wall. An endoscopy suggested advanced gastric cancer or gastric lymphoma. Biopsy of the lesion showed an inclusion body of the cytomegalovirus and positive immunohistochemical staining of the infected cell for cytomegalovirus. A thorough evaluation of her immune system revealed no abnormality. General supportive treatment for gastric ulcer did not relieve her symptoms. Intravenous infusion of ganciclovir improved her symptoms and healed the ulcer. We report a case of cytomegalovirus-associated gastric ulcer mimicking malignancy in an immunocompetent woman. (Korean J Gastrointest Endosc 2004;28: 92⁣96)
Key Words: Cytomegalovirus, Stomach ulcer, Immunocompetent host
주요어: 거대세포바이러스, 정상 면역, 위궤양
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