| 내시경 점막하 박리술을 통해 진단, 치료한 위 림프상피종양 암종 1예 |
| 조준호ㆍ이완식ㆍ이경록ㆍ정혜경ㆍ조성범ㆍ주영은ㆍ최성규ㆍ류종선 |
| 전남대학교 의과대학 내과학교실 |
| Gastric Lymphoepithelioma-like Carcinoma Diagnosed and Treated by Endoscopic Submucosal Dissection: Review of the Literature |
| Jun Ho Cho, M.D., Wan Sik Lee, M.D., Kyoung Rok Lee, M.D., Hye Kyong Jeong, M.D., Sung Bum Cho, M.D., Young Eun Joo, M.D., Sung Kyu Choi, M.D. and Jong Sun Rew, M.D. |
| Department of Internal Medicine, Chonnam National University College of Medicine, Gwangju, Korea |
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| Abstract |
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Gastric lymphoepithelioma-like carcinoma (LELC) is a rare neoplasm of the stomach that features undifferentiated carcinoma mixed with lymphoid stroma, and it invariably has a good prognosis. Most gastric LELCs have been linked to Epstein-Barr virus (EBV) infection. We experienced a case of a patient with gastric LELC. A 57 years old female patient was found to have shallow irregular ulcerative lesion on the gastric antrum. Although repetitive endoscopic biopsy didn't yield any cancer, early gastric cancer (EGC) was strongly suspected. Endoscopic submucosal dissection (ESD) was performed for establishing the correct diagnosis and curatively resecting the lesion. The pathology revealed gastric LELC with vertical invasion to the submucosa. No remnant cancer and no lymph node metastasis were noted after surgery following ESD. Here, we are reporting on a case of gastric ELEC along with reviewing the relevant literature. We believe this is the first case of gastric ELEC that was successfully diagnosed and managed by ESD. (Korean J Gastrointest Endosc 2010;40:256-260) |
| Key Words:
Gastric lymphoepithelioma-like carcinoma, Early gastric cancer, Endoscopic submucosal dissection |
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