소장의 원발성 평활근육종 -2증례 보고-
Primary Leiomyosarcoma of the Small Intestine -Report of 2 Cases-
김정만, 최환준, 서강석, 김순호,
소속 상세정보
김정만 ( )
부산대학교 의과대학 부속병원
최환준 ( )
부산대학교 의과대학 부속병원
서강석 ( )
부산대학교 의과대학 부속병원
김순호 ( )
부산대학교 의과대학 부속병원
KMID : 0357919830170030306
Abstract
요 약
저자들은 위에서 53세와 63세의 한국인 여성의 회장과 공장에서 각각 발생한 원발성 평활
근육종 2예를 경험하였기에 이 예들을 보고함과 동시에 이에 관한 약간의 문헌척 고찰을 하
였다.
#초록#
The incidence of leiomyosarcoma of the small intestine was low, variably reported 1
to 3 per cent of all neoplasms of the gastrointestinal tracts and 10 to 14 per cent of all
cancers of the small intestine. We have recently experienced two cases of
leiomyosarcoma, one of which is located in the ileum from 63-year old female and the
other in the jejunum from 53-year old female. Grossly, the two tumor masses measured
7×6×5㎝ and 10 10 8㎝ in dimensions, respectively. There were areas of mucosal
ulceration and hemorrhage over the mucosa. The cut surface of the masses was
relatively wel1-demarcated, grayish white fibrous tissue with a few hemorrhagic
necrosis throughout the whole layers except for mucosa. Metastasis was found in the
retroperitoneum in one case and the liver in the other. Microscopically, both tumors
were composed of interlacing bundles of smooth muscle cells having increased cellularity
and atypical features. More than 6 mitoses per ten high power fields were found in both
tumors. The metastatic lesions were infiltrated with above neoplastic cells. 4 brief
review of literatures was made.
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