Korean J Gastrointest Endosc > Volume 37(6); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(6): 424-428.
위점막하 종양의 형태를 보인 위선암 환자에서 내시경적 점막하 박리술 및 광역동 치료에 의한 병합요법 1예
최우석ㆍ박종재ㆍ이범재ㆍ박자인ㆍ김성호ㆍ임은혜ㆍ김재선ㆍ박영태
고려대학교 의학대학 내과학교실
A Case of Photodynamic Therapy after Endoscopic Submucosal Dissection for the Treatment of Early Gastric Cancer that Mimicked Submucosal Tumor
Woo Seok Choi, M.D., Jong-Jae Park, M.D., Bum Jae Lee, M.D., Jain Park, M.D., Sung-Ho Kim, M.D., Eunhye Lim, M.D., Jae Seon Kim, M.D. and Young-Tae Bak, M.D.
Division of Gastroenterology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea
Abstract
Several cases of photodynamic therapy (PDT) for the curative treatment of early gastric cancer have recently been reported. However, PDT has been performed in only limited cases because it is impossible to determine the pathologic subtype or stage of the malignant lesion after the procedure. Nevertheless, PDT combined with endoscopic submucosal dissection (ESD) is expected to enhance the accuracy of the pathologic assessment and enable more effective, safe treatment for early gastric cancer. Furthermore, PDT may exert a complementary and synergetic effect on ESD for the atypical forms of early gastric cancer. From this background, we report here on a case of early gastric cancer that mimicked submucosal tumor, and this was removed by ESD, and then this was followed by adjuvant PDT. The patient had a high risk for operation due to his old age and comorbidity. After the procedure, he achieved complete remission and he is currently under follow up: he is without recurrence of tumor one year after ESD. (Korean J Gastrointest Endosc 2008;37:424-428)
Key Words: Photodynamic therapy, Early gastric cancer, Endoscopic submucosal dissection
주요어: 광역동 치료, 조기 위암, 내시경적 점막하 박리술
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