Korean J Gastrointest Endosc > Volume 34(3); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;34(3): 156-160.
직장암으로 오인된 직장 내 폴립양 자궁내막증 1예
김은선·진윤태·이동훈·김영진·박재연·김진남·박상훈·금보라 · 조영직·공 휘·강창돈*·김용식·전훈재·엄순호·김창덕·류호상
고려대학교 의과대학 내과학교실, 소화기연구소, *강원대학교 의과대학 내과학교실
Rectal Polypoid Endometriosis Mimicking Malignant Rectal Tumor
Eun Sun Kim, M.D., Yoon Tae Jeen, M.D., Donghun Lee, M.D., Young Jin Kim, M.D., Jae Youn Park, M.D., Jin Nam Kim, M.D., Sanghoon Park, M.D., Bora Keum, M.D., Young Jig Cho, M.D., Hwi Kong, M.D., Chang Don Kang, M.D.*, Yong Sik Kim, M.D., Hoon Jai Chun, M.
Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, *Department of Internal Medicine, Kangwon National University College of Medicine, Chuncheon, Korea
Abstract
Endometriosis is a disorder that presents as endometrial glands and stroma outside the uterine cavity and its musculature. It is a common gynecologic disease affecting approximately 15% of fertile women. However, polypoid endometriosis is rare. Our patient visited the hospital due to bowel habit changes and bloody stools. The colonoscopy revealed a large ulcerating polypoid mass in the rectum. Image studies including CT scan, MRI, and PET-CT suggested rectal cancer but the biopsy was negative for a malignancy. Finally, she was diagnosed with rectal polypoid endometriosis by a surgical rectal mass resection. We report a case of rectal polypoid endometriosis mimicking a rectal polypoid cancer. (Korean J Gastrointest Endosc 2007;34:156⁣160)
Key Words: Rectal, Polypoid, Endometriosis, Colonoscopy
주요어: 직장, 폴립양, 자궁내막증, 대장내시경검사
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