Korean Journal of Gastrointestinal Endoscopy 1994;14(4): 450-457.
증례 : 9년간의 장기 추적 관찰로 악성화가 증명된 위선종 1예 ( Case Reports : A Case of Malignant Transformation of Gastric Tubular Adenoma Proven by 9-year Follow-Up )
최규완, 김용일, 송인성, 김정룡, 정현채, 장동경, 송상용 (Kyoo Wan Choi, Yong Il Kim, In Sung Song, Chung Yong Kim, Hyun Chae Jung, Dong Kyung Chang and Sang Yong Song)
Abstract
The association of gastric tubular adenoma and adenocarcinoma is already well known. Then, are those two pathologic lesions merely incidentally coexisting or does the one evolve to the other? That is a longstanding controversy. Nowadays, as is the case with the colonic tubular adenoma, the hypothesis that gastric tubular adenoma may be a precancerous lesion is generally accepted. However the direct evidences are rare. We report a clear case proving the potential of direct malignant transformation of gastric tubular adenorna through the 9-year close endoscopic follow-up. The developed cancer is well differentiated, surrounded with background tubular adenoma and limited to the submucosal layer.
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