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Endoscopic Resection of Xanthogranulomatous Gastritis Presenting as a Subepithelial Tumor: A Case Report

  • Kim, Tae Wan (Department of Internal Medicine, The Catholic University of Korea, Bucheon St. Mary's Hospital) ;
  • Kim, Tae Ho (Department of Internal Medicine, The Catholic University of Korea, Bucheon St. Mary's Hospital) ;
  • Kim, Chang Whan (Department of Internal Medicine, The Catholic University of Korea, Bucheon St. Mary's Hospital) ;
  • Chang, Jae Hyuck (Department of Internal Medicine, The Catholic University of Korea, Bucheon St. Mary's Hospital) ;
  • Han, Sok Won (Department of Internal Medicine, The Catholic University of Korea, Bucheon St. Mary's Hospital) ;
  • Kim, Jae Kwang (Department of Internal Medicine, The Catholic University of Korea, Bucheon St. Mary's Hospital)
  • 투고 : 2018.02.12
  • 심사 : 2018.04.06
  • 발행 : 2018.09.30

초록

Xanthogranulomatous gastritis (XGG) presenting as a subepithelial tumor (SET) is a very rare entity. We report a case of SET-like XGG diagnosed and treated with endoscopic resection. A 55-year-old female patient was initially referred with a 1.5-cm SET located at the anterior wall of the middle antrum. Endoscopic ultrasound examination revealed submucosal invasion without any perigastric lymph node enlargement. Endoscopic resection was performed for an accurate diagnosis and treatment, and the lesion was diagnosed histopathologically as XGG. At the 18-month follow-up after endoscopic resection, there was no evidence of XGG recurrence. SET-like XGG is very rare and the diagnosis is a preoperative challenge. However, inflammatory tumors should be considered in the differential diagnosis of SET.

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참고문헌

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