악성 종양으로 오인된 치핵을 동반한 거대 섬유상피용종 1예 |
김관우·김탁용·박정호·배수찬·강은진·이사라·김민웅·윤지훈·강화미·박종환·김치훈·박승근·박희욱·김혜숙* |
메리놀병원 내과, *해부병리과 |
A Case of Huge Anal Fibroepithelial Polyp with Hemorrhoids Misdiagnosed as Anal Cancer |
Kwan Woo Kim, M.D., Tak Yong Kim, M.D., Jung Ho Park, M.D., Su Chan Bae, M.D., Eun Jin Gang, M.D., Sa Ra Lee, M.D., Min Woong Kim, M.D., Ji Hoon Yoon, M.D., Hwa My Kang, M.D., Jong Hwan Park, M.D., Chi Hoon Kim, M.D.,Seung Keun Park, M.D., Hee Ug Park, M. |
Departments of Internal Medicine and *Pathology, Maryknoll Hospital, Busan, Korea |
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Abstract |
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The anal fibroepithelial polyps are well-known polypoid conditions histologically consisting of connective tissue response resulting from local irritation, which is closely associated with hemorrhoids. As previously reported, the size of the polyps ranged from 3 to 19 mm, average 9 mm. A 60-year-old women was admitted complaining of anal bleeding and constipation. Colonoscopy revealed a 3.0⁓2.5 cm sized, subpedunculated polyp on the dendate line. We removed the polyp by per anal local excision due to its hard stalk after failure of colonoscopic removal. The histologic examination was showed mature stratified squamous epithelium with hyalinized vascular changes. We report a case of huge and hard anal fibroepithelial polyp with hemorroids misdignosed as cancer. (Korean J Gastrointest Endosc 2005;30:4346) |
Key Words:
Anus, Fibroepithelial polyp, Hemorrhoids |
주요어:
항문, 섬유상피 용종, 치핵 |
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