점액 폭포를 보이는 점막하 종양 형태의 위 점액 선암 1예 |
장형하ㆍ이상현ㆍ김광하ㆍ최철웅ㆍ박찬호ㆍ엄재섭ㆍ강대환ㆍ송근암ㆍ김대환*ㆍ김 석†ㆍ최경운‡ |
부산대학교 의과대학 내과학교실, *외과학교실, †영상의학교실, ‡병리학교실 |
A Case of Submucosal Tumor-like Gastric Mucinous Adenocarcinoma Showing Mucin Waterfall |
Hyung Ha Jang, M.D., Sang Hyun Lee, M.D., Gwang Ha Kim, M.D., Chul Woong Choi, M.D., Chan Ho Park, M.D., Jae Sup Eum, M.D., Dae Hwan Kang, M.D., Geun Am Song, M.D., Dae Hwan Kim, M.D.*, Suk Kim, M.D.† and Kyung Un Choi, M.D.‡ |
Departments of Gastroenterolgy, *Surgery, †Radiology and ‡Pathology, Pusan National University College of Medicine, Busan, Korea |
|
|
Abstract |
|
Muinous gastric carcinoma (MGC) is a rare histological type that accounts for approximately 3∼7% of all gastric carcinomas. The results of clinicopathological studies suggest that the overall survival rate for patients with MGC is worse than that for patients with non-mucinous tumors as MGC is more frequently diagnosed in the advanced stage. In this report, we preoperatively predicted the type of a tumor from its endoscopic finding. An endoscopic ultrasonographic examination showed a submucosal tumor like mass showing mucin waterfall on the gastric cardia. A total gastrectomy with splenectomy was performed. The pathology of the tumor identified the lesion as a mucinous adenocarcinoma. (Korean J Gastrointest Endosc 2008;36:87-91) |
Key Words:
Gastric mucinous adenocarcinoma, Submucosal tumor |
주요어:
위 점액 선암, 점막하 종양 |
|
|