| 조기 위암과 함께 발생한 위 지방종의 수술적 절제 1예 |
| 박지영·백종태·이동수·남순우·안병민·정선종·빈홍건·정인식·선희식·이은희* |
| 가톨릭대학교 의과대학 내과학교실, *임상병리학교실 |
| A Case of Gastric Lipoma with Early Gastric Cancer Removed by Subtotal Gastrectomy |
| Ji Young Park, M.D., Jong Tae Baek, M.D., Dong Soo Lee, M.D., Soon Woo Nam, M.D.,Byung Min Ahn, M.D., Sun Jong Jeung, M.D., Hong Gern Bin, M.D.,In Sik Chung, M.D., Hee Sik Sun, M.D. and Eun Hee Lee, M.D.* |
| Departments of Internal Medicine and *Clinical Pathology, College of Medicine,The Catholic University of Korea, Seoul, Korea |
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| Abstract |
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Gastric lipomas account for less than 3% of benign gastric tumor arising from the submucosal layer. Gastric lipomas are usually asymptomatic, but occasionally diagnosed from epigastric pain, obstruction and bleeding by their size and location. A 68-year-old female with melena was diagnosed as gastric lipoma, having a bleeding focus at endoscopy. Endoscopy with biopsy revealed a yellowish fat containing lipoma which was located prepyloric antrum and protruded to the duodenal lumen, and synchoronous adenocarcinoma which was located at the gastric angle and distal body. Adenocarcinoma was confined to the mucosa and seperated from lipoma by normal stomach tissue. The patient received Billroth-II subtotoal gastrectomy, and gastric lipoma and early gastric cancer were resected, completely. (Korean J Gastrointest Endosc 2004;28:312316) |
| Key Words:
Gastric lipoma, Early gastric cancer, Bleeding |
| 주요어:
위 지방종, 조기위암, 출혈 |
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