위 전이를 보인 고등급 자궁내막기질육종 1예 |
류시영ㆍ우인숙ㆍ김윤지ㆍ공시은ㆍ김형우ㆍ김진일ㆍ한치화ㆍ이연수* |
가톨릭대학교 의과대학 내과학교실, *병원병리학교실 |
A Case of High-grade Endometrial Stromal Sarcoma with Metastasis to the Stomach |
Si Young You, M.D., In Sook Woo, M.D., Yun Ji Kim, M.D., Si Eun Kong, M.D., Hyung Woo Kim, M.D., Jin Il Kim, M.D., Chi Hwa Han, M.D. and Youn Soo Lee, M.D.* |
Departments of Internal Medicine and *Hospital Pathology, The Catholic University of Korea College of Medicine, Seoul, Korea |
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Abstract |
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To our knowledge, this is the first report of case of high-grade endometrial stromal sarcoma metastasized to the stomach. Endometrial stromal sarcoma is very rare, accounting for 0.2% of female genital tract malignancies. High-grade endometrial stromal sarcoma demonstrates more frequent infiltration into the muscle layer of the uterus or metastasis to other organs, having a poorer prognosis than low grade disease. During its clinical course, endometrial stromal sarcoma may involve ovary, fallopian tube and pelvic cavity. Distant metastasis to lung, liver, bladder, breast, heart, brain and bones have been reported. However, to the best of our knowledge, high-grade endometrial stromal sarcoma presenting with gastric metastasis has never been reported. We now report a case of a 52-year-old woman with previously diagnosed lung metastasis having stomach metastasis from endometrial stromal sarcoma of the uterus. (Korean J Gastrointest Endosc 2010;41:219-223) |
Key Words:
Sarcoma, Endometrium, Metastasis, Stomach |
주요어:
육종, 자궁내막, 전이, 위 |
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