Korean J Gastrointest Endosc > Volume 33(3); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;33(3): 168-172.
다발성 점막하 병변으로 발현한 직장의 기저양 편평 세포암 1예
박순민·허성은·권범준·김형준·양성은·김창환·김진아*·한석원
가톨릭대학교 의과대학 내과학교실, *병리학교실
Basaloid Squamous Cell Carcinoma of the Rectum Manifesting as Multiple Submucosal Lesions
Soon Min Park, M.D., Sung Eun Hur, M.D., Bum June Kwon, M.D., Hyung Jun Kim, M.D., Seong Eun Yang, M.D., Chang-Whan Kim, M.D., Jean A Kim, M.D.* and Sok Won Han, M.D.
Departments of Internal Medicine and *Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Basaloid squamous carcinoma is a rare, pooly differentiated variant of squamous cell carcinoma. It occurs in various sites, including the upper digestive tract, the esophagus, lung, anus, cervix and thymus. It has been postulated that basaloid carcinoma may arise from outside of the anal canal, such as at where the cloacogenic embryologic cells rest, the squamous metaplastic epithelium, or the totipotential basal cells. This tumor is a distinct entity that should be carefully distinguished from basal cell carcinomas of the anal canal, which is a condition that has a very good prognosis, and anal or perianal squamous cell carcinomas, which have a different path of spread and they vary considerably in their behavior. We report here on a patient with basaloid squamous carcinoma in the distal rectum that manifested as multiple submucosal lesions, and the patient presented with abdominal pain and blood tinged stool. (Korean J Gastrointest Endosc 2006;33:168⁣172)
Key Words: Rectal cancer, Basaloid squamous cell carcinoma, Submucosal lesions
주요어: 직장암, 기저양 편평세포암, 점막하 병변
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