GIST, Endoscopic resection"/> Endoscopic Treatment of 3 Cases of GIST with High Aggressive Behavior
Korean J Gastrointest Endosc > Volume 42(2); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;42(2): 98-104.
내시경적 절제술로 치료된 위장의 고위험성 위장관 기질 종양 3예
조영주ㆍ이기명ㆍ정기명ㆍ임선교ㆍ김진홍ㆍ신성재ㆍ황재철ㆍ김영배*
아주대학교 의과대학 소화기내과학교실, *병리학교실
Endoscopic Treatment of 3 Cases of GIST with High Aggressive Behavior
Young Ju Cho, M.D., Kee Myung Lee, M.D., Kee Myoung Jung, M.D., Sun Gyo Lim, M.D., Jin Hong Kim, M.D., Sung Jae Shin, M.D., Jae Chul Hwang, M.D. and Young Bae Kim, M.D.*
Departments of Gastroenterology, *Pathology, Ajou University School of Medicine, Suwon, Korea
Abstract
Gastrointestinal stromal tumors (GISTs) are the most common subepithelial tumor of the gastrointestinal tract. They originate from mesenchymal tissue. Because of difficulties in discriminating between benign and malignant GISTs, the treatment modality is selected on the base of tumor size, mitosis count, location, originating layer, and the presence of complications. Regular follow-up, open resection, or laparoscopic operation were considered main treatments for GISTs. Surgical resection is standard treatment for a huge GIST. However, the treatment method is not determined for GISTs of less than 3 cm that show a benign clinical course. Recently, endoscopic treatment was attempted because of recent endoscope developments and associated devices. We report three cases of gastric GISTs with a high risk of aggressive behavior that were successfully treated by endoscopic resection. (Korean J Gastrointest Endosc 2011;42:98-104)
Key Words: GIST, Endoscopic resection
주요어: 위장관 기질 종양, 내시경적 절제술
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