Korean Journal of Gastrointestinal Endoscopy 1989;9(1): 15-24.
악성화한 위 혼합유두관상선종 1예 ( A Case of Tubulovillous Adenoma of the Stomach with Carcinomatous Change )
김진홍, 조성우, 이문성, 조성원, 심찬섭, 문철, 김인숙, 이동화 (Jin Hong Kim, Sung Woo Cho, Moon Sung Lee, Sung Won Cho, Chan Sup Shim, Chul Moon, In Sook Kim and Dong Wha Lee)
Abstract
Tubulovillous adenoma of the stomach is an intermediate between tubular and villous adenoma, and may exhibit both growth patterns. Pedunculated tubulovillous adenomas behave clinically and pathologically like tubular adenoma and sessile tubulovillious adenomas tend to behave like villous adenoma., stamach is unusual site of involvement. Tubulovillous adenoma of the stomach has a great tendency to undergo malignant change. Malignant Change are correlated with polyp size and the proportion of villous componancy. And those in the stomach are highly assoeiated with an independent gastric carcinoma. Endoscopic biopsy may confirm the diagnosis but may give false positive results for malignant neoplasm and therefore should not delay, treatment. After diagnosis, surgical resection is mandatory and subsequent radiological or endoscopic follow-up is essential. Recently We experienced a 46-year-old female patient whio had a large tubulovillous adenoma of the stomach with careinomatous change and reviewed this case with references.
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