Korean J Gastrointest Endosc > Volume 34(6); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;34(6): 334-338.
원인 불명의 위장관 출혈에서 진단적 개복술로 진단된 공장의 위장관 간질종양 1예
정해빈·김선영·박신애·박상미·심건호·김의형·전은정·오정환·정정조·최상욱
가톨릭대학교 의과대학 내과학교실
A Case of Gastrointestinal Stromal Tumor of the Jejunum with Obscure Gastrointestinal Hemorrhage Diagnosed by Exploratory Laparotomy
Hae Bin Jung, M.D., Sun Young Kim, M.D., Shin Ae Park, M.D., Sang Mi Park, M.D., Kon Ho Shim, M.D., Eui Hyung Kim, M.D., Eun Jung Jeon, M.D., Jung Hwan Oh, M.D., Jeong Jo Jeong, M.D. and Sang Wook Choi, M.D.
Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea
Abstract
Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumor of the gastrointestinal tract, and they represent about 2% of all neoplasms of the gastrointestinal tract. GISTs primarily affect the stomach (50∼60%), but they can also affect the small intestine (20∼30%), large intestine (7%) and esophagus (1%). The clinical manifestations of GISTs vary according to the location and size of the mass. GISTs are generally KIT (CD117)-positive and are diagnosed by immunohistochemistry. Tumor size and mitotic activity are the best predictive prognostic features. The treatment of choice for primary GIST is complete surgical resection with a negative margin. A 78-year-old man who presented with melena and diffuse abdominal pain was admitted to our hospital. Esophagogastroduodenoscopy, colonoscopy, angiography and an RBC scan were performed but we were unable to locate the focus of the hemorrhage. A gastrointestinal stromal tumor (GIST) of the jejunum was diagnosed after laparotomy.
Key Words: Gastrointestinal stromal tumor, Gastrointestinal hemorrhage, Laparotomy
주요어: 위장관 간질종양, 위장관 출혈, 개복술
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