함몰증식성폴립에 동반된 심재성 낭종성 위염과 조기위암 1예
A Case of Gastric Inverted Hyperplastic Polyp Associated with Gastritis Cystica Profunda and Early Gastric Carcinoma
최민성, 진소영, 김동원, 이동화, 박상모,
소속 상세정보
최민성 ( Choi Min-Sung )
순천향대학교병원 병리과
진소영 ( Jin So-Young )
순천향대학교병원 병리과
김동원 ( Kim Dong-Won )
순천향대학교병원 병리과
이동화 ( Lee Dong-Wha )
순천향대학교병원 병리과
박상모 ( Park Sang-Mo )
순천향대학교병원 병리과
KMID : 0357920070410010055
Abstract
A gastric inverted hyperplastic polyp is characterized by downward growth of the hyperplastic mucosal components into the submucosa. Lesions are composed of hyperplastic foveolar-type glands, and sometimes coexist with gastritis cystica profunda (GCP). Adenocarcinoma frequen- tly can coexist, but the relationship is not clear. A 71-year-old male was admitted to hospital because of dyspepsia for one month. He underwent a wedge resection of the stomach, after endoscopic biopsies. The gross finding showed a slightly elevated papillary lesion with central depression. Microscopically, the elevated lesion was composed of hyperplastic fundic glands and foveolar cells, and the central depressed lesion showed a nodular inverted proliferation of normal appearing gastric epithelium and glands in the submucosa. An additional proximal gastrectomy specimen exhibited marked GCP and a minute adenocarcinoma at the proximal margin with p53 protein overexpression.
키워드
Stomach; Inverted hyperplastic polyp; Gastritis cystica profunda; Early gastric carcinoma
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