Korean J Gastrointest Endosc > Volume 41(1); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(1): 21-25.
44개월간의 경과관찰 중에 악성으로 변화한 위 간질종양 1예
류충헌ㆍ김지현ㆍ박관식ㆍ서효림ㆍ최윤정ㆍ하승인ㆍ김윤정ㆍ설상영
인제대학교 의과대학 내과학교실
Malignant Transformation of Gastric Gastrointestinal Stromal Tumor in 44 Months Observational Period: A Case Report
Choong Heon Ryu, M.D., Ji Hyun Kim, M.D., Kwan Sik Park, M.D., Hyo Rim Seo, M.D., Yun Jung Choi, M.D., Seoung In Ha, M.D., Yoon Jung Kim, M.D. and Sang Young Seol, M.D.
Department of Internal Medicine, College of Medicine, Inje University, Busan, Korea
Abstract
Gastrointestinal stromal tumor is a common type of gastrointestinal mesenchymal tumor. Depending on the patient's age, compliance and health status, and the level of suspicion of malignancy, tumors ≤3 cm in size are typically monitored annually by endoscopic ultrasonography. The examination interval can be extended if no size change is noted on consecutive examinations. We report here on a 44-year-old female who presented with abdominal discomfort and displayed no size change of her gastrointestinal stromal tumor on three consecutive endoscopies over a 44- month interval. The patient was diagnosed with malignant gastrointestinal stromal tumor on the basis of the evident ulceration seen on esophagogastroduodenoscopy and the inhomogenous echo noted on the endoscopic ultrasonography and the pathologic findings by gastric wedge resection. (Korean J Gastrointest Endosc 2010;41:21-25)
Key Words: Gastrointestinal stromal tumor, Endoscopic ultrasonography
주요어: 위장관 간질종양, 내시경초음파
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