Korean J Gastrointest Endosc > Volume 37(4); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(4): 280-283.
단일 점막하 종양 소견을 보인 심재성 낭성 위염 1예
이지현ㆍ이계성ㆍ이엄석ㆍ강현모ㆍ김재수ㆍ윤영걸ㆍ정인성ㆍ이미선*
대전 선병원 소화기내과, *병리과
A Case of Gastritis Cystica Profunda Presenting with a Submucosal Cystic Tumor
Ji Hyun Lee, M.D., Gye Sung Lee, M.D., Eom Seok Lee, M.D., Hyun Mo Kang, M.D., Jae Su Kim, M.D., Young Gul Yoon, M.D., In Sung Jung, M.D. and Mi Seon Lee, M.D.*
Departments of Internal Medicine and *Pathology, Sun General Hospital, Daejeon, Korea
Abstract
Gastritis cystica profunda (GCP) is a lesion characterized by elongation of the gastric foveolae with hyperplasia and cystic dilatation of the gastric glands that extends into the submucosal layer. In most cases, gastritis cystica profunda develops in patients who have undergone a gastroenterostomy, with or without gastric resection. GCP may present not only as a submucosal tumor or as solitary or diffuse polyps, but GCP is also rarely seen as a giant gastric mucosal fold. A patient arrived at our hospital with dyspepsia. Gastroduodenoscopy (EGD) showed the presence of a submucosal tumor measuring 3 cm in the widest diameter in the body of the stomach. A CT scan demonstrated the cystic nature of the lesion and endoscopic ultrasound (EUS) depicted a homogeneous hypoechoic, unilocular cystic mass without any internal solid component. EGD, CT and EUS findings suggested that the lesion was more likely to be benign than malignant. The lesion was treated with an endoscopic mucosal resection (EMR), and the lesion was finally diagnosed as gastritis cystica profunda. A follow-up EGD demonstrated that all mucosal surfaces were well healed four weeks after the EMR. (Korean J Gastrointest Endosc 2008;37:280-283)
Key Words: Gastritis cystica profunda, Submucosal tumor
주요어: 심재성 낭성 위염, 점막하 종양
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