Korean J Gastrointest Endosc > Volume 31(4); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;31(4): 257-262.
점막하 종양 양상으로 위를 침윤한 간 혈관육종 1예
강화미·이정남·김민웅·김치훈·박종환·윤지훈·김형욱·박승근·박희욱·김혜숙*
메리놀병원 내과, *해부병리과
A Case of Hepatic Angiosarcoma Presenting as Submucosal Tumor Resulting from Gastric Invasion
Hwa Mi Kang, M.D., Jung Nam Lee, M.D., Min Woong Kim, M.D., Chi Hoon Kim, M.D., Jong Hwan Park, M.D., Ji Hoon Yoon, M.D., Hyung Wook Kim, M.D., Seung Keun Park, M.D., Hee Ug Park, M.D. and Hye Sook Kim, M.D.*
Departments of Internal Medicine and *Pathology, Maryknoll Hospital, Busan, Korea
Abstract
Angiosarcoma accounts for 1% of all soft tissue sarcoma. Common sites of occurrence include the skin, breast, soft tissue, and liver. It metastasizes to the lungs, bone, and spleen. The cause of hepatic angiosarcoma in the 60% of cases is unknown, although specific risk factors such as vinyl chloride, arsenic, thorotrast and external-beam irradiation have been identified. Since 1986, about eight cases of hepatic angiosarcoma have been reported in Korea, but it had not been reported in which the hepatic angiosarcoma invaded to the stomach, yet. So we report a case of histopathologically confirmed primary hepatic angiosarcoma with gastric involvement. In this case, a sixtythree-year-old female was presented with indigestion and epigastric soreness for 1 year. Endoscopic examination of the stomach revealed a submucosal tumor-like protruding mass from the antrum to angle. The mucosal surface showed severe hyperemia and shallow ulcerative change was seen. Endoscopic biopsy and percutaneous liver biopsy confirmed the diagnosis of hepatic angiosarcoma invading the gastric wall. (Korean J Gastrointest Endosc 2005;31:257⁣262)
Key Words: Angiosarcoma, Hepatic angiosarcoma, Gastric involvement
주요어: 혈관육종, 간 혈관육종, 위침윤
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