Korean J Gastrointest Endosc > Volume 36(3); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;36(3): 150-153.
악성 점막하종양으로 오인된 위저부 양성궤양 1예
가톨릭대학교 의과대학 내과학교실, *인하대학교 의과대학 내과학교실
A Benign Ulcer of the Gastric Fundus Reminiscent of a Malignant Submucosal Tumor
Yun Hwa Jung, M.D., Byung Wook Kim, M.D., Hyung Gil Kim, M.D.*, Hyoung Jin Chang, M.D., Do Seon Song, M.D., Min Huh, M.D., Min Kuk Kim, M.D., Hyun Jung Jung, M.D., Jeong Seon Ji, M.D., Jeong Won Jang, M.D., Hwang Choi, M.D., Kyu Yong Choi, M.D. and In Sik
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, *Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea
The gastric fundus is a rare site for benign ulcer occurrence as it consists of parietal cells, which secret gastric acid. It is resistant to gastric acid and pepsin, and has an abundant blood supply. Varices or other vascular lesions, such as polyps and submucosal tumors, are more frequently found in the gastric fundus. When an ulcer is found in the gastric fundus, it is important to consider underlying conditions such as a malignancy. In this case, a benign gastric ulcer in the gastric fundus dome formed a protruding mass-like lesion with central necrosis, which was reminiscent of a malignant submucosal tumor. Proper follow-up gastroscopy with endoscopic ultrasonography helped to differentiate these similar lesions. We report here a case of a benign gastric ulcer in the fundus dome that was reminiscent of a malignant submucosal tumor, with a review of the literature. (Korean J Gastrointest Endosc 2008;36:150-153)
Key Words: Fundus ulcer, Submucosal tumor, Endoscopic ultrasonography
주요어: 위저부 궤양, 위점막하종양, 초음파내시경
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