Journal of Digestive Cancer Research

Korean Society of Gastrointestinal Cancer Research (대한소화기암연구학회)
권호 표지

Endoscopic Submucosal Dissection for Simultaneous Presence of GIST and Submucosal Tumor Type MALT-Lymphoma on the Stomach ?

동시에 발견된 위장관 간질 종양과 점막하 종양 형태의 MALT 림프종의 내시경 치료

  • In Kyung Yoo (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Anam Hospital) ;
  • Hoon Jai Chun (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Anam Hospital) ;
  • Yoon Tae Jeen (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Anam Hospital) ;
  • Bora Keum (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Anam Hospital) ;
  • Eun Sun Kim (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Anam Hospital) ;
  • Hyuk Soon Choi (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Anam Hospital) ;
  • Seung Joo Nam (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Anam Hospital)
  • 유인경 (고려대학교 의과대학 내과학교실) ;
  • 전훈재 (고려대학교 의과대학 내과학교실) ;
  • 진윤태 (고려대학교 의과대학 내과학교실) ;
  • 금보라 (고려대학교 의과대학 내과학교실) ;
  • 김은선 (고려대학교 의과대학 내과학교실) ;
  • 최혁순 (고려대학교 의과대학 내과학교실) ;
  • 남승주 (고려대학교 의과대학 내과학교실)
  • Received : 2014.05.15
  • Accepted : 2014.05.31
  • Published : 2014.06.30
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Abstract

A 42-year-old female was referred to our department after find out submucosal tumor type lesion on cardia at local clinics. She experienced no specific symptom. On gastroscopy, two distinct neoplasms were detected. One of which was located in the cardia anterior wall of the stomach with the size of 2.0×1.1 cm, and the other one was localized in the cardia posterior wall of the stomach and its size was 1.5×1.2 cm. We performed endoscopic submucosal dissection. Pathological evaluation revealed the diagnosis of gastrointestinal stromal tumor (GIST) at the cardia anterior wall and malignant lymphoma from the mass localized cardia posterior wall of the stomach. We would like to report these rare synchronous tumors which were successfully treated by endoscopic resection in the same patient

본 증례에서는 우연히 한 환자에서 위장관 간질 종양과 점막하 종양 형태의 MALT 림프종을 동시에 발견하였고, 이를 내시경적 절제술로 치료한 사례이다. 현재 환자는 절제술 후 2년 동안 질병의 진행 없이 외래에서 경과 관찰 중이다. 아직 MALT 림프종과 위장관 간질종양에서 내시경적 점막하 절제술은 정립된 치료 방법이 아니지만, 본 증례처럼 성공적으로 치료될 수 있음을 경험하였기에 문헌고찰과 함께 보고하는 바이다. 아직은 내시경적 절제술로 치료한 사례가 적지만, 향후 내시경적 절제술 후 긴 기간 동안 추적 관찰된 증례들이 모인다면 조기위암처럼 표준화된 치료법으로 시행될 수 있기를 기대한다.

Keywords

References

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