Korean J Gastrointest Endosc > Volume 38(4); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;38(4): 224-228.
내시경 점막하 박리술로 치료한 위의 염증성 섬유양 용종
김현성ㆍ김진일ㆍ고명범ㆍ노치호ㆍ이세민ㆍ정대영ㆍ박수헌ㆍ김재광
가톨릭대학교 의과대학 내과학교실
Gastric Inflammatory Fibroid Polyp Resected by Endoscopic Submucosal Dissection
Hyeon Seong Kim, M.D., Jin Il Kim, M.D., Myoung Beom Koh, M.D., Chee Ho Noh, M.D., Se Min Lee, M.D., Dae Young Cheung, M.D., Soo-Heon Park, M.D. and Jae Kwang Kim, M.D.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Inflammatory fibroid polyp (IFP) is a rare benign fibroproliferative disease that arises from the submucosal layer of the gastrointestinal tract. Surgical resection has been performed in most cases and the application of endoscopic resection is rare. Endoscopic submucosal dissection (ESD), which was recently introduced, enables en-bloc resection of a tumor regardless of the tumor size and location. Since IFP is benign, ESD can be very useful for both the diagnosis and treatment of a large-sized IFP. A 45-year-old woman was referred for the management of a gastric mass. Esophagogastroduodenoscopy showed a round submucosal mass with a central bulging at the gastric body. Endoscopic ultrasonography showed a 3.5×3.0 cm-sized hypoechoic mass in the third layer of the stomach. The tumor was removed by ESD with using a hook knife for complete en-bloc resection. The pathologic finding was compatible with the diagnosis of IFP. We report here on a case of IFP that presented as a gastric submucosal tumor and it was treated by the ESD method. (Korean J Gastrointest Endosc 2009;38:224-228)
Key Words: Inflammatory fibroid polyp, Stomach, Endoscopic submucosal dissection
주요어: 염증성 섬유양 용종, , 내시경 점막하 박리술
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