Korean J Gastrointest Endosc > Volume 43(1); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;43(1): 33-37.
내시경에서 위궤양으로 나타난 거대 위 신경초종 1예
이창중ㆍ박석준ㆍ우성용ㆍ오현종ㆍ성미경ㆍ이병호ㆍ안성배ㆍ유현주*
대림성모병원 내과, *병리과
Huge Gastric Schwannoma Characterized by a Gastric Ulcer During Endoscopy
Chang Jung Lee, M.D., Suk Joon Park, M.D., Seong Yong Woo, M.D., Hyun Jong Oh, M.D., Mi Kyung Sung, M.D., Byeong Ho Lee, M.D., Sung Bae An, M.D. and Hyun Ju Yoo, M.D.*
Departments of Internal Medicine, *Pathology, Daerim Saint Mary's Hospital, Seoul, Korea
Abstract
Gastric schwannomas are very rare mesenchymal tumors that can occur throughout the gastrointestinal tract, but are most commonly found in the stomach. The majority of patients have no symptoms, while others may complain of epigastric pain or upper gastrointestinal ulcer bleeding. Endoscopic examination of a gastric schwannoma commonly reveals a protrusive mass, but, as in this case, many types of ulceration can be observed with central necrosis. We report on a 62-year-old woman with endoscopic findings of 1 cm sized necrotizing ulceration and an 11 cm sized submucosal mass on radiological examinations. The patient underwent a wedge-shaped resection of the stomach and segmental resection of the transverse colon. Both histological and immunohistochemical staining revealed a gastric schwannoma. (Korean J Gastrointest Endosc 2011;43:33-37)
Key Words: Gastric schwannoma, Gastric submucosal mass, Gastric ulcer
주요어: 위 신경초종, 위 점막하종양, 위궤양
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