Korean J Gastrointest Endosc > Volume 31(6); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;31(6): 404-408.
내시경 점막절제술로 진단된 점막하종양과 유사한 형태를 보인 조기 위선암 1예
김세윤·박종재·조용익*·최종환·김지현·김병규·김지훈·장윤정·김철현·서연석·김진용·김재선·박영태
고려대학교 의과대학 구로병원 내과, *서울적십자병원 내과
A Case of Submucosal Tumor-like Early Gastric Adenocarcinoma Diagnosed by Endoscopic Mucosal Resection
Se Yune Kim, M.D., Jong-Jae Park, M.D., Yongik Cho*, M.D., Jong Hwan Choi, M.D., Ji Hyun Kim, M.D., Byung Kyu Kim, M.D., Ji Hoon Kim, M.D., Yun Jung Chang, M.D., Cheol Hyun Kim, M.D., Youn Suk Seo, M.D., Jin Yong Kim, M.D., Jae Seon Kim, M.D. and Young-Ta
Department of Internal Medicine, Korea University Medical Center Guro Hospital, Department of Internal Medicine, *Seoul Red Cross Hospital, Seoul, Korea
Abstract
In rare cases, early gastric cancer resembles the endoscopic features of a submucosal tumor (SMT). A correct histological diagnosis is difficult with repeated biopsy specimens because they are covered with normal mucosa. Some features known to suggest malignant SMT include a size greater than 3 to 5 cm, a rapid growth rate, echoheterogeneity and irregular margins on endoscopic ultrasonography (EUS). Various techniques including US- guided biopsy, partial removal by an endoscopic snare excision, as well as EUS with a fine needle aspiration were used to enhance the diagnostic accuracy. We recently experienced a case of early gastric cancer, presenting as a submucosal tumor-like lesion, which was confirmed by endoscopic mucosal resection. We report this case with a review of the relevant literature. (Korean J Gastrointest Endosc 2005;31:404⁣408)
Key Words: Early gastric cancer, Submucosal tumor, Endoscopic mucosal resection
주요어: 조기위암, 점막하종양, 내시경 점막 절제술
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