복강 내에서 발견된 기관지원성낭종 내의 선암 1예
A Case of Adenocarcinoma Arising within Intra-Abdominal Bronchogenic Cyst
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초록
위의 전장 낭종은 드물며 그중 기관지원성낭종은 더욱 드물다. 저자들은 속쓰림을 주소로 내원하여 시행한 전산화 단층촬영에서 위의 중복 낭종이 진단되었으며, 복강경 수술을 통한 조직 검사상 위의 기관지원성낭종 및 낭종 벽 일부를 침범한 선암종 1예를 경험하여 문헌고찰과 함께 보고하는 바이다.
Abstract
Gastric foregut duplication cyst is a rare congenital anomaly. There have been very few reports of bronchogenic cysts in the abdominal cavity attached to the stomach. We report a case of a 57-year-old Korean man with an adenocarcinoma arising within a bronchogenic cyst of the stomach. Pathologic findings revealed ciliated columnar epithelium lining the cyst and a solid papillary adenocarcinoma involving the subserosa of the stomach and the skeletal part of the diaphragm. Surgical resection is the treatment of choice for foregut cysts of the stomach, and the possibility of malignancy should be considered in patients with gastric duplication cysts. (Korean J Med 2012;82:374-377)
참고문헌 (10)
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