The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
권호 표지

A Case of Bleeding Gastric Villous Adenoma Treated with Endoscopic Mucosal Resection

내시경점막절제술로 치료한 출혈을 보인 위 융모샘종 1예

  • Son, Hyuk-Su (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Kim, Sung-Uk (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Sohn, Jong-Won (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Chung, In-Kwon (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Jeon, Seong-Woo (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Jung, Min-Kyu (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Kim, Sung-Kook (Department of Internal Medicine, Kyungpook National University School of Medicine)
  • 손혁수 (경북대학교 의학전문대학원 내과학교실) ;
  • 김성욱 (경북대학교 의학전문대학원 내과학교실) ;
  • 손종원 (경북대학교 의학전문대학원 내과학교실) ;
  • 정인권 (경북대학교 의학전문대학원 내과학교실) ;
  • 전성우 (경북대학교 의학전문대학원 내과학교실) ;
  • 정민규 (경북대학교 의학전문대학원 내과학교실) ;
  • 김성국 (경북대학교 의학전문대학원 내과학교실)
  • Published : 2011.06.01
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Abstract

Villous adenomas of the stomach are rare, although they more frequently occur in the colon and rectum. Clinical symptoms are similar to gastric polyps, but acute or chronic bleeding with anemia occurs frequently. The size of tumors varies between 4 and 6 cm, and the malignant potential is greater when the tumor is larger. Complete resection with surgery or endoscopic resection is the treatment of choice. Endoscopic findings revealed a dome-like or pedunculated appearance. Microscopically, the tumor was composed of long fronds and papillations covered by columnar epithelia with a reduced number of goblet cells. We report a case of polyps with chronic intermittent and acute bleeding for 6 months, which was alleviated by endoscopic mucosal resection and was confirmed as a villous adenoma.

위 샘종성 용종은 과형성 용종 다음으로 흔하며 대부분 관상샘종이다. 하지만 융모샘종은 결장에서는 흔히 발생하지만 상부위장관에서는 매우 드물게 발생하며, 급성 또는 만성 출혈을 흔히 동반할 수 있으나 국내에서는 아직 보고가 없다. 이번 증례에서는 활동성 출혈을 보이는 위 용종을 내시경 점막절제술로 치료 후 융모샘종으로 확인된 1예를 경험하여 보고하는 바이다.

Keywords

References

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