Korean J Gastrointest Endosc > Volume 35(6); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(6): 429-434.
복강 내 종괴로 나타난 림프절 전이를 동반한 분화형 점막 위암 1예
임종필ㆍ강정묵ㆍ이혁준*ㆍ김상균ㆍ김주성ㆍ정현채ㆍ송인성
서울대학교 의과대학 내과학교실 및 간연구소, *외과학교실
A Case of Differentiated Mucosal Gastric Cancer with Lymph Node Metastasis Presented as an Intra-abdominal Mass
Jong Pil Im, M.D., Jung Mook Kang, M.D., Hyuk-Joon Lee, M.D.*, Sang Gyun Kim, M.D., Joo Sung Kim, M.D., Hyun Chae Jung, M.D. and In Sung Song, M.D.
Departments of Internal Medicine and Liver Research Institute, *Surgery, Seoul National University College of Medicine, Seoul, Korea
Abstract
In early gastric cancer, the most important prognostic factor is the presence or absence of a lymph node metastasis that is associated with the tumor size, histopathological differentiation, depth of tumor invasion and lympho-vascular invasion. A small sized differentiated mucosal cancer without a lympho-vascular invasion or histological ulceration rarely metastasizes to the lymph node. Herein, we report a case of a lymph node metastasis that is presented as an intra-abdominal mass in a 2.5 cm-sized differentiated mucosal cancer without ulceration or lympho-vascular invasion. (Korean J Gastrointest Endosc 2007;35:429-434)
Key Words: Early gastric cancer, Mucosal cancer, Lymph node metastasis
주요어: 조기 위암, 점막암, 림프절 전이
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