The Korean Journal of Medicine

  • 제82권3호
  • /
  • Pages.374-377
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  • 2012
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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복강 내에서 발견된 기관지원성낭종 내의 선암 1예

A Case of Adenocarcinoma Arising within Intra-Abdominal Bronchogenic Cyst

  • 박지수 (연세대학교 의과대학 강남세브란스병원 내과) ;
  • 김종원 (연세대학교 의과대학 강남세브란스병원 외과) ;
  • 임범진 (연세대학교 의과대학 강남세브란스병원 병리과) ;
  • 박승교 (연세대학교 의과대학 강남세브란스병원 내과) ;
  • 고보건 (연세대학교 의과대학 강남세브란스병원 내과) ;
  • 임재윤 (연세대학교 의과대학 강남세브란스병원 내과) ;
  • 조재용 (연세대학교 의과대학 강남세브란스병원 내과)
  • Park, Ji-Soo (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Kim, Jong-Won (Department of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lim, Beom-Jin (Department of Pathology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Park, Seung-Kyo (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Kho, Bo-Gun (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lim, Jae-Yun (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Cho, Jae-Yong (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine)
  • 발행 : 2012.03.01
⟨ 이전 논문 다음 논문 ⟩

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.

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.

키워드

참고문헌

  1. Kim DH, Kim JS, Nam ES, Shin HS. Foregut duplication cyst of the stomach. Pathol Int 2000;50:142-145. https://doi.org/10.1046/j.1440-1827.2000.01008.x
  2. Mayo HW Jr, McKee EE, Anderson RM. Carcinoma arising in reduplication of the stomach (gastrogenous cyst): a case report. Ann Surg 1955;141:550-555. https://doi.org/10.1097/00000658-195504000-00019
  3. Coit DG, Mies C. Adenocarcinoma arising within a gastric duplication cyst. J Surg Oncol 1992;50:274-277. https://doi.org/10.1002/jso.2930500417
  4. Smith SM, Young CS, Bishop AF. Adenocarcinoma of a foregut cyst: detection with positron emission tomography. AJR Am J Roentgenol 1996;167:1153-1154. https://doi.org/10.2214/ajr.167.5.8911171
  5. Kajiya Y, Nakajo M, Ichinari N, Yamazumi K, Otuji T, Tanaka T. Retroperitoneal foregut cyst. Abdom Imaging 1997;22:111-113. https://doi.org/10.1007/s002619900153
  6. Cunningham SC, Hansel DE, Fishman EK, Cameron JL. Foregut duplication cyst of the stomach. J Gastrointest Surg 2006;10: 620-621. https://doi.org/10.1016/j.gassur.2005.04.004
  7. Harvell JD, Macho JR, Klein HZ. Isolated intra-abdominal esophageal cyst: case report and review of the literature. Am J Surg Pathol 1996;20:476-479. https://doi.org/10.1097/00000478-199604000-00011
  8. Gensler S, Seidenberg B, Rifkin H, Rubinstein BM. Ciliated lined intramural cyst of the stomach: case report and suggested embryogenesis. Ann Surg 1966;163:954-956. https://doi.org/10.1097/00000658-196606000-00018
  9. Murakami S, Isozaki H, Shou T, Sakai K, Toyota H. Foregut duplication cyst of the stomach with pseudostratified columnar ciliated epithelium. Pathol Int 2008;58:187-190. https://doi.org/10.1111/j.1440-1827.2007.02209.x
  10. Kuraoka K, Nakayama H, Kagawa T, Ichikawa T, Yasui W. Adenocarcinoma arising from a gastric duplication cyst with invasion to the stomach: a case report with literature review. J Clin Pathol 2004;57:428-431. https://doi.org/10.1136/jcp.2003.013946