관상 선종과 병발된 심재성 낭성 위염 (Gastritis Cystica Profunda) 1예
A Case of Gastritis Cystica Profunda Associated with Tubular Adenoma
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참고문헌
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초록
심재성 낭성 위염은 성숙된 선상피가 팽창 및 확장되어 점막의 깊은 부분이나 점막하에서 낭성 병변을 형성하는 비교적 드문 질환으로 대부분 위절제술을 시행받은 후에 발생하는 것으로 생각되었으나 최근에는 위수술을 받은 기왕력이 없는 경우에도 보고되고 있다. 최근 저자 등은 위절제술을 받은 기왕력이 없는 환자에게서 상부 위장관 내시경 검사에서 나란히 발견된 용종 2개에 대하여 내시경 용종절제술을 통한 조직검사에서 관상 선종과 병발한 심재성 낭성 위염 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.
Abstract
Gastritis cystica profunda (GCP) is a rare disease in which mature glandular epithelium extends into the muscularis mucosae or below. GCP lesions mainly develop at the gastroenterostomy stomas. These lesions show malignant histologic features such as metaplastic and even dysplastic alteration, however they usually exhibit benign behavior. We report a case of a patient with GCP who had not previously undergone gastric surgery. A 63-year- old woman visited our hospital for anorexia and epigastric discomfort. The esophagogastroduodenoscopy revealed two polyps on the anterior wall of the greater curvature, antrum. The polyps were removed by snare polypectomy and the histology findings showed the character of a tubular adenoma and a hyperplastic polyp with an associated GCP. (Korean J Gastrointest Endosc 2006;32:120-123)
참고문헌 (19)
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