Clinical Endoscopy

  • 제51권2호
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  • Pages.192-195
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  • 2018
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  • 2234-2400(pISSN)
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  • 2234-2443(eISSN)
대한소화기내시경학회 (The Korean Society of Gastrointestinal Endoscopy)
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A Rare Case of Early Gastric Cancer Combined with Underlying Heterotopic Pancreas

  • Yoon, Jung Bin (Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital) ;
  • Lee, Bong Eun (Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital) ;
  • Kim, Dae Hwan (Department of Surgery, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital) ;
  • Park, Do Youn (Department of Pathology, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital) ;
  • Jeon, Hye Kyung (Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital) ;
  • Baek, Dong Hoon (Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital) ;
  • Kim, Gwang Ha (Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital) ;
  • Song, Geun Am (Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital)
  • 투고 : 2017.04.05
  • 심사 : 2017.08.16
  • 발행 : 2018.03.30
⟨ 이전 논문 다음 논문 ⟩

초록

Heterotopic pancreas in the stomach is usually asymptomatic and benign. Here, we presented a rare case of an early gastric cancer overlying a heterotopic pancreas. A 48-year-old woman underwent esophagogastroduodenoscopy, which revealed a subepithelial mass measuring $2.0{\times}1.5cm$ on the gastric antrum with a 1-cm erosive erythematous discoloration on the surface. A biopsy specimen showed moderately differentiated tubular adenocarcinoma. Endosonography showed a heterogeneous hypoechoic mass measuring $1.3{\times}0.6cm$, with indistinct margins in the second and third layers of the gastric wall; anechoic tubular structures within the mass were suggestive of heterotopic pancreas. Distal gastrectomy was performed, which confirmed an early gastric cancer confined to the mucosa, and a separate underlying heterotopic pancreas. Although heterotopic pancreas is most likely benign, careful endoscopic observation of the mucosal surface is necessary to avoid overlooking a coincident early gastric cancer.

키워드

과제정보

연구 과제 주관 기관 : Pusan National University Hospital

참고문헌

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피인용 문헌

  1. A case of gastric heterotopic pancreas with gastroduodenal invagination vol.5, pp.1, 2018, https://doi.org/10.1186/s40792-019-0669-7
  2. A rare case of enlarged gastric heterotopic pancreas with retention cysts: A case report and literature review vol.74, pp.None, 2018, https://doi.org/10.1016/j.ijscr.2020.07.035