Korean J Gastrointest Endosc > Volume 34(2); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;34(2): 94-98.
점막하종양 형태의 위선암 2예
남지현 · 박선자 · 박지은 · 김낭희 · 김성훈 · 한서룡 · 문 원 · 김규종 · 박무인 · 장희경*
고신대학교 의과대학 내과학교실, *해부병리과학교실
Two Cases of a Submucosal Tumor-like Gastric Adenocarcinoma
Ji Hyeon Nam, M.D., Seun Ja Park, M.D., Ji Eun Park, M.D., Nang Hee Kim, M.D., Sung Hoon Kim, M.D., Seo Ryong Han, M.D., Won Moon, M.D., Kyu-Jong Kim, M.D., Moo In Park, M.D. and Hee Kyung Chang, M.D.*
Departments of Internal Medicine and *Pathology, Kosin University College of Medicine, Busan, Korea.
Abstract
The gastric carcinoma displays various macroscopic appearances ranging from well defined protuberant to diffuse infiltrating tumors but its histological diagnosis is usually simple when performing an endoscopic biopsy. A few gastric cancinomas resemble submucosal tumors (SMT). A gastric carcinoma with a SMT-like appearance is extremely rare, and reportedly accounts for 0.1% to 0.63% of all resected gastric carcinomas in Japan. A histological diagnosis of a SMT-like gastric carcinoma by repeated endoscopic biopsies is often difficult as the tumors are almost entirely covered with normal mucosa. When one sees the lesions in an upper gastrointestinal endoscopy, one should be careful about the location of depression, redness and coating that deviates from the top of the tumor. Here we report two cases of SMT-like gastric carcinomas, diagnosed by the usual endoscopic biopsy method and treated with surgery, with an accompanying review of the recent literature.
Key Words: Submucosal tumor like gastric carcinoma, Lymphoid stroma
주요어: 점막하종양 형태의 위선암, 림프양 기질
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