Korean Journal of Gastrointestinal Endoscopy 2009;39(4): 226-229.
위에 점막하 종양의 형태로 나타난 황색 육아종성 염증
이시형ㆍ장병익
영남대학교 의과대학 내과학교실
Xanthogranulomatous Inflammation of Gastric Wall Presented as a Submucosal Tumor
Si Hyung Lee, M.D. and Byung Ik Jang, M.D.
Departments of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea
Abstract
Xanthogranulomatous inflammation is a rare condition characterized by aggregation of foamy histiocytes, fibrosis and parenchymal destruction. A 53-year-old man presented suffering from dyspepsia. Endosonography revealed a submucosal lesion that was a 2.6 cm-sized hypoechoic mass. We could not differentiate the lesion as a benign or malignant mesenchymal tumor, particularly a gastrointestinal stromal tumor, necessitating a wedge resection. The stomach wall was focally thickened, measuring 1.0 cm in size. No definite mass was grossly evident. Microscopic examination revealed multiple foamy histiocytes and subserosal fibrosis. Xanthogranulomatous inflammation of the gastric wall was diagnosed. (Korean J Gastrointest Endosc 2009;39:226-229)
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