대장에 발생한 가성육종성 변화를 보이는 염증성 용종 -결핵성 장염과 관련되어 발생한 1예 보고- |
권효준·최정식·황종호·최홍석·이상용·이상호·최경운* |
부산광역시의료원 내과, *부산대학교 의과대학 병리학교실 |
A Case of Pseudosarcomatous Change of an Inflammatory Colon Polyp Associated with Tuberculous Colitis |
Hyo June Kwon, M.D., Jung Sik Choi, M.D., Jong Ho Hwang, M.D., Hong Seok Choi, M.D., Sang Yong Lee, M.D., Sang Ho Lee, M.D. and Kyung Un Choi, M.D., Ph.D.* |
Department of Internal Medicine, Busan Medical Center, *Department of Pathology, Pusan National University School of Medicine, Busan, Korea |
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Abstract |
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"Pseudosarcomatous change" occurs when sarcoma-like atypical cell hyperplasia is grossly indistinguishable from malignant tumor. Pseudosarcoma often exists in those areas of the gastrointestinal track where ulcer or erosion commonly takes place. This may indicate atypical granulomatous cell proliferation during a period of healing, as well as benign atypical change in the mesenchyme due to chronic inflammatory reaction. Both the visual appearance and intestinal involvement of tuberculous colitis are variable, and tuberculosis may result in reactive mesenchymal change associated with ulcer or polyp, which is that's induced by chronic inflammation. We report here on a case of a young female pulmonary tuberculosis patient who suffered with a pseudosarcoma of the ascending colon, and this was associated with tuberculous colitis. The patient underwent successful sugical resection. We report on this case, along with a review of the relevant literature. |
Key Words:
Tuberculous colitis, Pseudosarcoma, Colon tumor |
주요어:
결핵성 장염, 가성육종, 대장 종양 |
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