위선암과 대세포 신경내분비암으로 구성된 혼합종양 |
정진환ㆍ김용철ㆍ김정호ㆍ정의성ㆍ정대영ㆍ김진일ㆍ박수헌ㆍ김재광 |
가톨릭대학교 의과대학 내과학교실 소화기내과학교실 |
A Case of a Gastric Composite Tumor with an Adenocarcinoma and a Large Cell Neuroendocrine Carcinoma |
Jin Hwan Jung, M.D., Yong Cheol Kim, M.D., Jeong Ho Kim, M.D., Hui Sung Chung, M.D., Dae Young Cheung, M.D., Jin Il Kim, M.D., Soo Heon Park, M.D. and Jae Kwang Kim, M.D. |
Department of Gastroenterology, Department of Internal Medicine, College of Medicine,The Catholic University of Korea, Seoul, Korea |
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Abstract |
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A 55 year-old man was admitted with epigastric pain of one-month duration. We performed an esophagogastroduodenoscopy that showed the presence of a 3 cm sized polypoid mass at the lesser curvature side of the antrum. A biopsy demonstrated the presence of a neuroendocrine carcinoma of the stomach. A subtotal gastrectomy with D2 lymph node dissection was performed and the microscopic features of the resected specimen confirmed the diagnosis of a composite large cell neuroendocrine carcinoma with an adenocarcinoma of the stomach. A gastric neuroendocrine carcinoma is extremely rare and a composite neuroendocrine carcinoma with an adenocarcinoma of the stomach has been rarely reported. We report a case of a gastric composite tumor with an adenocarcinoma and a large cell neuroendocrine carcinoma. (Korean J Gastrointest Endosc 2009;39:93-96) |
Key Words:
Composite tumor, Neuroendocrine carcinoma, Adenocarcinoma |
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