쿠션 징후 양성 소견을 보인 위 사구종양 1예
A Case of a Gastric Glomus Tumor with a Positive Cushion Sign
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
사구종양은 동정맥 문합총의 혈관벽에서 유래하는 양성종양으로, 위장관의 사구종양은 드문 것으로 알려져 있으며, 그 중 위 점막하 종양이 가장 흔한 형태이다. 저자들은 건강 검진시 우연히 발견되었고, 쿠션 징후 양성 소견을 보인 위 점막하 종양을 주소로 내원한 52세 여자에서 EUS 및 CT 검사 후 수술을 통해 조직학적으로 확진 된 위 사구종양을 경험하여 문헌 고찰을 중심으로 보고한다.
Abstract
Glomus tumors are commonly observed in the dermis or subcutis but are only rarely found in the stomach. A 52-year-old woman presented with an incidental finding of a submucosal tumor that showed a positive cushion sign in the stomach. Endoscopic ultrasonography (EUS) showed a 1.8×1.0 cm sized well-circumscribed homogenous hypoechoic tumor with side halos in the fourth sonographic layer of the gastric wall. Contrast enhanced abdominal computerized tomography (CT) demonstrated high enhancement of the tumor with the same level of enhancement as the portal vein for the arterial phase, with persistence of enhancement in the portal phase. For treatment, laparascopic wedge resection was performed. Histological findings of a biopsy specimen were compatible with a glomus tumor. Although it is difficult to diagnose a glomus tumor preoperatively, these characteristic findings determined with the use of EUS and CT seem to be useful to distinguish a glomus tumor from other tumors that arise from the third or fourth sonographic layer of the gastric wall.
참고문헌 (17)
- Miettinen M, "Gastrointestinal glomus tumor: a clinicopathologic, immuohistochemical, and molecular genetic study of 32 cases", Am J Surg Pathol, 26, pp.301~311 (2002)
- Enzinger FM, "Soft tissue tumors. 2nd ed" (1988), C. V. Mosby
- Imamura A, "Glomus tumor of the stomach: endoscopic ultrasonographic findings", Am J Gastroenterol, 89, pp.271~272 (1994)
- Yasutake K, "A case of glomus tumor of the stomach, including a review of the literature of 52 reported cases in Japan", Gan No Rinsho, 35, pp.748~755 (1989)
- Satoh O, "Gastric glomus tumor of which preoperative diagnosis could be made report of a case", Stomach and Intestine, 22, pp.91~97 (1987)
- West AB, "Mantle zone lymphoma in a gastric glomus tumor", Cancer, 70, pp.2246~2249 (1992)
- Lee DS, "A case of glomus tumor arising in the stomach", Korean J Gastrointest Endosc, 21, pp.559~562 (2000)
- Debol SM, "Glomus tumor of the stomach: cytologic diagnosis by endoscopic ultrasound-guided fine-needle aspiration", Diagn Cytopathol, 28, pp.316~321 (2003)
- Shin HM, "A case of glomus tumor of the stomach: role of endoscopic ultrasonography", Korean J Gastrointest Endosc, 21, pp.855~858 (2000)
- Agawa H, "Gastric glomus tumor", Gastrointest Endosc, 56, pp.903~ (2002)
- Okai T, "Endosonographic evaluation of c-kit-positive gastrointestinal stromal tumor", Abdom Imaging, 28, pp.301~307 (2003)
- Harig BM, "The radiology corner: glomus tumor of the stomach", Am J Gastroenterol, 63, pp.423~428 (1975)
- 박종필, "위 사구종양 1예", 대한소화기학회지, 52(5), pp.310~314 (2008), 대한소화기학회
- Kim JK, "Glomus tumor of the stomach: CT findings", Abdom Imaging, 26, pp.303~305 (2001)
- Cha SH, "Helical CT appearance of glomus tumor of the stomach", Eur Radiol, 10, pp.671~673 (2000)
- Hu XY, "Glomus tumor of the gastric body: helical CT findings", Chin Med J, 120, pp.1289~1291 (2007)
- Folpe AL, "Atypical and malignant glomus tumors: analysis of 52 cases, with a proposal for the reclassification of glomus tumors", Am J Surg Pathol, 25, pp.1~12 (2001)