점막내 선암을 동반한 과형성 위용종 1예 |
이성숙·장명국·이진혁·박찬선·변정식·이윤정·명승재·정훈용·양석균·홍원선·김진호· |
울산대학교 의과대학 서울아산병원 내과학교실, *병리학교실 |
A Gastric Hyperplastic Polyp with Intramucosal Adenocarcinoma |
Sung Sook Lee, M.D., Myoung Kuk Jang, M.D., Gin Hyug Lee, M.D., Chan Sun Park, |
Departments of Internal, Medicine and *Pathology, Asan Medical Center, University of Ulsan, |
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Abstract |
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Adenomatous polyps have been well known to be premalignant, but it is still controversial
how to treat and follow them up. Up to date, endoscopic resection has been the choice of
treatment, particularly exceeding 2 cm, though there is no concensus on the indications for the
excision of hyperplastic polyps. The incidence of malignant tissue found in hyperplastic polyps has
been reported to be less than 3%, which is considerably lower than the incidence of greater than
6% reported in adenomas. There have been few reports of hyperplastic polyps in which malignant
changes developed during endoscopic surveillance. We report a case of hyperplastic gastric polyp
with intramucosal, well- differentiated adenocarcinoma with reviewing references. (Korean J Gastrointest
Endosc 2004;28:188192) |
Key Words:
IHyperplastic polyp, Intramucosal adenocarcinoma |
주요어:
과형성 용종, 점막내 선암 |
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