Korean J Gastrointest Endosc > Volume 35(4); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(4): 250-253.
점막하 종양의 모양과 유사한 조기 위선암 1예
단국대학교 의과대학 내과학교실, *외과학교실, 진단병리학교실
A Case of Early Gastric Adenocarcinoma Mimiking a Submucosal Tumor
Joon Hyuk Lee, M.D., Jeong Eun Shin, M.D., Bae Hwan Kim, M.D., Dong Woo Kim, M.D., Ki Chul Shin, M.D., Se Young Yun, M.D., Suk Bae Kim, M.D., Il Han Song, M.D., Chang Hwan Lee, M.D.* and Won Ae Lee, M.D.
Departments of Internal Medicine, *General Surgery and Pathology, Dankook University College of Medicine, Cheonan, Korea
Early gastric adenocarcinoma with the endoscopic features resembling a submucosal tumor is extremely rare and is characterized by erythema, central depression and erosion on the surface of the lesion, which can be distinguished from submucosal tumor. When a tumor is completely covered with normal mucosa, it is extremely difficult to obtain endoscopic biopsy specimens from the underlying lesion. EUS alone is not necessarily diagnostic. Various techniques have been advocated to overcome this problem, including US-guided biopsy, partial removal by an endoscopic snare excision, endoscopic mucosal resection as well as EUS with FNA. We encountered a case of an early gastric adenocarcinoma with well differentiation, presenting as a submucosal tumor. The early gastric adenocarcinoma was evaluated by endoscopy and EUS, and was confirmed by a surgical resection. We report this case with a review of the relevant literature. (Korean J Gastrointest Endosc 2007;35:250-253)
Key Words: Gastric adenocarcinoma, Submucosal tumor
주요어: 조기 위선암, 점막하종양
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