위벽의 성장을 하면서 누관을 동반하였던 거대 위평활근 아세포종 1예
A Case of Exogastric Growing Giant Gastric Leiomyoblastoma with Fistula
대한암학회지 1995년 27권 1호 p.144 ~ 150
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이규진
주대환/노상현/김형권/최선희/오형석/양윤식/정연재
KMID : 0360319950270010144
Abstract
Liomyoblstoma, which has first proposed by Stout in 1962, is a rare disease that has a benign clinical course. But about 8~13% of cases change to malignancy. In complicated case, hemorrhage, necrosis, fistula formation can occur.
A case of exogastric growing giant leiomyoblastoma with fistula manifested as hamate-mesis is presented. A 61-year old male patient suffering from massive hematemesis and epigastric discomfort for 1 month was proved to have large gastric
leiomyoblastoma
which had communicating fistula into the gastric lumen by gastrofibroscopy and abdominal CT scanning. At operatin, the mass was originated at lesser curvature of the stomach ad located under posterior wall of the stomach and the transverse
mesocolon was
protruded by the mass. The easily bleeding, multi-pedunculated mass was resected and diagnosed as leiomyoblastoma by Masson -tri hrome and Vimentin stain. He is good health without evidence of disease, 2 months after operation.
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