조기위암(Ⅱc+Ⅲ형)에 합병된 궤양성 Phycomycosis
Gastric Phycomycosis Presenting as an Ulcerative Lesion within the Early Gastric Carcinoma
김명숙, 김광연, 김용일,
소속 상세정보
김명숙 ( )
고려병원 병리과
김광연 ( )
고려병원 외과
김용일 ( )
서울대학교 의과대학 병리학교실
KMID : 0357919870210030176
Abstract
Primary phycomycosis of the stomach within the ulcerative portion of early gastric
carcinoma is presented in a sixty one year old male alcoholics. In the center of talc type
submucosal adenocarcinoma was a large deep ulcer (UL-Ⅳ) which was the only seat of
phycomycetes infection accompanied with angioinvasion and exudative endovasculitis
aside from unusual granuloma formation with Splendore Hoeppli phenomenon and
eosinophilic response as in allergic granulomatous aspergillosis. The above features were
reconstructed to indicate that the phycomycetes infection was confined to the type Ⅲ
area of Ⅱc +Ⅲ early gastric carcinoma, and that the local ulcerogenic lesion seems
more contributory in its development than systemic factors including gastric carcinoma
per se or alcoholic consumption.
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