Journal of Gastric Cancer
- 제4권3호
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- Pages.186-191
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- 2004
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- 2093-582X(pISSN)
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- 2093-5641(eISSN)
원발성 위 소세포암 2예
Two Cases of Primary Small Cell Carcinomas of the Stomach
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서윤석
(서울대학교 의과대학 외과학교실) ;
-
박도중
(서울대학교 의과대학 외과학교실 및 암연구소) ;
-
이혁준
(서울대학교 의과대학 외과학교실 및 암연구소) ;
- 조수연 (서울대학교 의과대학 병리학교실) ;
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김우호
(서울대학교 의과대학 병리학교실 및 암연구소) ;
- 박성희 (서울대학교 의과대학 병리학교실) ;
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양한광
(서울대학교 의과대학 외과학교실 및 암연구소) ;
-
이건욱
(서울대학교 의과대학 외과학교실) ;
- 최국진 (서울대학교 의과대학 외과학교실)
-
Seo Yun-Seock
(Departments of Surgery Seoul National University College of Medicine) ;
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Park Do Joong
(Departments of Surgery and Cancer Research Institute Seoul National University College of Medicine) ;
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Lee Hyuk-Joon
(Departments of Surgery and Cancer Research Institute Seoul National University College of Medicine) ;
- Cho Soo Youn (Departments of and Pathology Seoul National University College of Medicine) ;
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Kim Woo Ho
(Departments of Pathology, and Cancer Research Institute Seoul National University College of Medicine) ;
- Park Seong Hoe (Departments of and Pathology Seoul National University College of Medicine) ;
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Yang Han-Kwang
(Departments of Surgery and Cancer Research Institute Seoul National University College of Medicine) ;
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Lee Kuhn Uk
(Departments of Surgery Seoul National University College of Medicine) ;
- Choe Kuk Jin (Departments of Surgery Seoul National University College of Medicine)
- 발행 : 2004.09.01
초록
Primary small-cell carcinomas of the stomach are rare and aggressive malignancies with poor survival rates. Preoperative diagnosis is difficult and a standard treatment is not yet established. We have recently experienced two cases of a primary small-cell carcinoma of the stomach. The first case was a 65-year-old man with epigastric soreness. Endoscopic biopsy showed an adenocarcinoma. He underwent a radical subtotal gastrectomy with D2 lymph-node dissection. Pathology revealed a collision tumor of a smallcell carcinoma and an adenocarcinoma with submucosal invasion and with metastasis in 20 out of 48 lymph nodes (T1N3M0). The second case was a 64-year-old man with epigastric soreness. Endoscopic biopsy revealed a small-cell carcinoma. There was no evidence of a primary tumor in the lung. A radical subtotal gastrectomy with D2 lymph-node dissection was performed. Pathology showed a pure smallcell carcinoma with proper muscle invasion and with metastasis in 1 out of 36 lymph nodes (T2aN1M0).
키워드