胃의 異形成病變과 그의 癌變化에 關한 病理組織學的 檢索 -乳頭腺腫과 異型上皮病變에서-
Histopathologic Study of 2 Separate Dysplastic Lesions in one Stomach and its Malignant Change -Papillary adenoma and Atypical epithelial lesion-
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박효숙(朴孝淑)/Hyo Sook Park
구전수(丘專琇)/이병두(李炳斗)/Hae Soo Koo/Byung Doo Lee
KMID : 0357919780120040375
Abstract
A subtotally removed stomach of a 47 year old male patient which has two separate
protruded lesions, papillary adenoma and atypical epithelial lesion, was examined with
histotopographic reconstruction method. Both lesions were associated similarly with
diffuse dysplastic epithelial changes, and the former, papillary adenoma, demonstrated
focal malignant change with submucosal invasion.
Dysplasia or cellular atypism accompanied by the papillary adenoma or atypical
epithelial lesions (often called as borderline lesion, tubular adenorna, or adenomatous
polyp) has the evidence of malignant potential and must be carefully examined for
coexisting carcinoma or indepencent carcinoma in neighboring gastric mucosa. A more
radical surgical approach than other benign gastric polyps is required for these lesions.
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