Carcinoma, Surgical endoscopy"/> A Case of Endoscopic Enucleation for Gastric Lymphoepithelioma-like Carcinoma
Korean J Gastrointest Endosc > Volume 41(3); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(3): 163-167.
내시경 핵적출술로 제거한 점막하 종양 형태의 위 림프상피양 암종 1예
우 학ㆍ신성재ㆍ김영배*ㆍ이윤철ㆍ차동엽ㆍ황재철ㆍ이기명ㆍ김진홍
아주대학교 의과대학 소화기내과학교실, *병리학교실
A Case of Endoscopic Enucleation for Gastric Lymphoepithelioma-like Carcinoma
Hak Woo, M.D., Sung Jae Shin, M.D., Young Bae Kim, M.D.*, Yoon Chul Lee, M.D., Dong Youb Cha, M.D., Jae Chul Hwang, M.D., Kee Myung Lee, M.D. and Jin Hong Kim, M.D.
Departments of Gastroenterology, *Pathology, Ajou University School of Medicine, Suwon, Korea
Abstract
Lymphoepithelioma-like carcinoma (LELC) is a rare cancer and it makes up about 1∼4% of all gastric malignancies. The main histologic feature of LELC is a lymphoid stroma. LELC is rare in that its shape is similar to that of submucosal tumor (SMT). Although SMT can be divided into malignant and benign tumors, using endoscopic ultrasonography (EUS) and EUS-guided fine needle aspiration, there are still many cases that can't be discriminated, and it is especially difficult to obtain specimens due to the small size of SMT. There have been some recent trials to endoscopic remove small SMTs for the purpose of making an exact diagnosis and guiding therapy. We report here a case of gastric LELC that exhibited the features of a submucosal tumor, and this LELC was removed by endoscopic enucleation. We also briefly review the relevant medical literature. (Korean J Gastrointest Endosc 2010;41:163-167)
Key Words: Carcinoma, Surgical endoscopy
주요어: 암종, 내시경적 절제술
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