Korean J Gastrointest Endosc > Volume 35(3); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(3): 175-180.
점막하 종양의 형태를 보인 진행성 위암 2예
홍창균·정우철·최현주*·김영철·이강문·양진모·김재광·한석원·최규용·정인식
가톨릭대학교 의과대학 내과학교실, *임상병리학교실
Two Cases of Advanced Gastric Carcinomas Showing Features of Submucosal Tumors
Chang Kyun Hong, M.D., Woo Chul Chung, M.D., Hyun Joo Choi, M.D.*, Young Chul Kim, M.D., Kang Moon Lee, M.D., Jin Mo Yang, M.D., Jae Kwang Kim, M.D., Sok Won Han, M.D., Kyu Yong Choi, M.D. and In-Sik Chung, M.D.
Departments of Internal Medicine and *Clinical Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Gastric carcinoma showing the features of a submucosal tumor (SMT) is extremely rare. The incidence of this type of tumor has been reported to be 0.1∼0.63%. We report two cases of advanced gastric carcinomas showing the features of SMT. A 58-year-old man visited our hospital with a melena. An endoscopic examination revealed a 3.0 cm sized protruding lesion on the posterior wall of the gastric antrum. Most of the tumor surface was covered with normal mucosa and ulceration was observed in the center. Although the histological diagnosis could not be obtained prior to surgery, a gastrectomy was performed due to the high risk of malignancy. The tumor was diagnosed histologically as a lymphoepithelioma-like carcinoma. The other patient was a 64-year-old man with the chief complaint of epigastric discomfort. An endoscopic examination revealed a SMT like lesion with a central ulceration and hard coated exudate in the high body of the stomach. The microscopic examination revealed a poorly differentiated vimentin-positive adenocarcinoma. Unfortunately, he died from the disease two months later. (Korean J Gastrointest Endosc 2007;35:175-180)
Key Words: Submucosal tumor, Gastric carcinoma, Lymphoepithelioma-like carcinoma, Rhabdoid tumor
주요어: 점막하 종양, 위암, 림프상피종양 암종, 횡문양 암
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