| 전통적 거치상샘종에서 발생한 조기 대장 샘암종 1예 |
| 김민경ㆍ차재명ㆍ임성직ㆍ김선용ㆍ채정민ㆍ조욱ㆍ주광로ㆍ이정일 |
| 경희대학교 의과대학 강동경희대학교병원 내과학교실 |
| Early Adenocarcinoma Arising from Traditional Serrated Adenoma in the Colon |
| Min Kyung Kim, M.D., Jae Myung Cha, M.D., Sung Jig Lim, M.D., Sunyong Kim, M.D., Jung Min Chae, M.D., Uk Jo, M.D., Kwang Ro Joo, M.D. and Joung Il Lee, M.D. |
| Department of Internal Medicine, Gang Dong Kyung Hee University Hospital, Kyunghee University College of Medicine, Seoul, Korea |
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| Abstract |
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A serrated adenoma is a precursor lesion for some cases of microsatellite unstable colorectal carcinoma (CRC). The serrated neoplasia pathway has been associated with carcinogenesis of serrated adenoma, which is different from the traditional adenoma-carcinoma sequence. The serrated neoplasia pathway accounts for 10∼15% of CRCs, and these tumors typically demonstrate microsatellite instability. Cases of a CRC arising from a serrated adenoma have been rarely identified with the recent recognition of the serrated neoplasia pathway. However, these cases are not frequently reported in Korea, because this concept has only been recently emphasized. We report a case of an early adenocarcinoma arising from a traditional serrated adenoma of the colon, which was diagnosed and treated by a colonoscopic polypectomy. (Korean J Gastrointest Endosc 2011;42:113-117) |
| Key Words:
Traditional serrated adenoma, Colon, Adenocarcinoma |
| 주요어:
거치상샘종, 대장, 샘암종 |
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