Korean J Gastrointest Endosc > Volume 31(6); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;31(6): 399-403.
과형성 위용종에서 발생한 위선암 2예
허원석·채경훈·정재훈·강윤세·김연수·김석현·성재규·이병석·정현용·송규상*
충남대학교 의과대학 내과학교실, *병리학교실
Two Cases of Adenocarcinoma Arising from Gastric Hyperplastic Polyp
Won Seok Heo, M.D., Kyung Hoon Chae, M.D., Jae Hoon Jung, M.D., Yoon Sae Kang, M.D., Yeon Soo Kim, M.D., Seok Hyun Kim, M.D., Jae Kyu Sung, M.D., Byung Seok Lee, M.D., Hyun Yong Jeong, M.D. and Gyu Sang Song, M.D.*
Departments of Internal Medicine and *Pathology, Chungnam National University College of Medicine, Daejeon, Korea
Abstract
Epithelial gastric polyps can be categorized as being either hyperplastic or adenomatous. Hyperplastic polyps accounts for 75∼90% of gastric polyps. In contrast to the adenomatous polyps, the potential of a malignant transformation of hyperplastic polyps was originally believed to be quite low (an incidence of 1.5∼2.1%), which is considerably lower than that of an adenoma of the stomach. Most of reported cases of a hyperplastic gastric polyp with a transformation to adenocarcinoma were well differentiated histopathologically. There are few reports of a hyperplastic polyp in which malignant changes developed during the endoscopic surveillance. We report a rare case of a 1.2 cm sized moderately differentiated adenocarcinoma arising in a hyperplastic polyp on the cardia in the stomach with a brief review of the relevant literature. (Korean J Gastrointest Endosc 2005;31:399⁣403)
Key Words: Gastric hyperplastic polyp, Adenocarcinoma
주요어: 과형성 용종, 위선암
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