Korean J Gastrointest Endosc > Volume 35(5); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(5): 337-341.
위 누공 및 위 장관 출혈을 동반한 위의 위장관 기질종양 1예
메리놀병원 내과, *해부병리과
A Case of a Gastric Gastrointestinal Stromal Tumor with a Fistula and Gastrointestinal Bleeding
Jin Ho Lee, M.D., Jung Youn Moon, M.D., Hyun Jung Kim, M.D., Jung Eun Huh, M.D., Jong Ryul Park, M.D., Hye Jung Jang, M.D., Ji Hoon Yoon, M.D., Seung Keun Park, M.D., Hee Ug Park, M.D. and Hye Sook Kim, M.D.*
Departments of Internal Medicine and *Pathology, Maryknoll Medical Center, Busan, Korea
There has been much debate on the origin, differentiation and prognosis of gastrointestinal stromal tumors (GIST). Based on recent studies, we consider Cajal interstitial cell as the origin of a GIST. The common symptoms of a GIST are abdominal pain, hemorrhage, and the presence of a mass. However, there are few reported cases of a GIST with abscess pockets that communicate with the lumen of the stomach via a fistula. We report a case of a GIST of the stomach presenting with an abscess and a fistula communicating with the lumen of the stomach. An 84-year-old man presented with continuous fever and general weakness. We were able to diagnose the disease by an endoscopic examination, CT scan, biopsy and by cellular immunohistochemical staining. (Korean J Gastrointest Endosc 2007;35:337-341)
Key Words: GIST, Fistula
주요어: 위장관기질종양, 위누공
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