위 하체부와 전정부에서 발생한 유암종과 샘암종의 충돌종양 1예 |
정승원ㆍ김연수ㆍ조주영ㆍ정인섭ㆍ홍수진ㆍ유창범ㆍ김진오ㆍ이준성ㆍ이문성ㆍ진소영*ㆍ김재준†ㆍ심찬섭ㆍ김부성 |
순천향대학교 의과대학 내과학교실, 소화기연구소, *임상병리학교실, †일반외과학교실 |
A Case Study of a Gastric Collision Tumor with an Adenocarcinoma and a Carcinoid Tumor |
Soung Won Jeong, M.D., Yon Soo Kim, M.D., Joo Young Cho, M.D., In Seop Jung, M.D., Su Jin Hong, M.D., Chang Beom Ryu, M.D., Jin Oh Kim, M.D., Joon Seong Lee, M.D., Moon Sung Lee, M.D., So-Young Jin, M.D.*, Jae Jun Kim, M.D.†, Chan Sup Shi |
Department of Internal Medicine, Institute for Digestive Research, Departments of *Pathology and †General Surgery, Soonchunhyang University College of Medicine, Seoul, Korea |
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Abstract |
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Adenocarcinoma is the most common malignant gastric neoplasm, contrary to a gastric carcinoid which is relatively uncommon. The occurrence of an adenocarcinoma and a typical carcinoid tumor is rare and are morphologically classified into two subgroups. The first type is a composite- type tumor, which is characterized as a randomly assorted adenocarcinoma and a typical carcinoid tumor. The second type is a collision-type tumor, which is a double tumor with a "side by side" or "overlay" pattern. To the best of our knowledge, only 2 cases of the collision type tumors have been reported in the Korean literature. We have encountered a collision tumor which occurred in the antrum of the stomach and which invaded the regional lymph nodes by means of a highly malignant gastric carcinoid. The following report is a description of the collision tumor case as well as a literature review. (Korean J Gastrointest Endosc 2008;36:159-164) |
Key Words:
Carcinoid, Adenocarcinoma, Collision-type tumors |
주요어:
위 유암종, 위 샘암종, 위 충돌종양 |
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