용종형 고립성 직장궤양 증후군
Solitary Recta Ulcer Syndrome with Lesion of Polypoid Growth
성무경, 유영범, 조승제,
소속 상세정보
성무경 ( Seong Moo-Kyung )
건국대학교 의과대학 외과학교실
유영범 ( Yoo Young-Bum )
건국대학교 의과대학 외과학교실
조승제 ( Cho Seung-Che )
건국대학교 의과대학 병리학교실
KMID : 0371320040660020159
Abstract
Solitary rectal ulcer syndrome (SRUS) is a rare disorder characterized by rectal ulceration associated with typical histological features and disturbed defecatory behaviour from the passage of blood and mucus. While the cause of SRUS is yet unknown, the rectal prolapse and the paradoxical contraction of pelvic floor muscles have been considered the most important factors. The diagnosis is made usually on the basis of clinical symptoms, endoscopic appearance, and histology. Despite the terminology of SRUS, patients often show multiple lesions instead of just a single lesion or polypoid lesions instead of ulcerative lesions. Polypoid lesions, especially when combined with histologic findings of colitis cystica profunda, may sometimes be mis-interpreted as cancer. We report the case of one female patient with SRUS with out-growing polypoid lesion, which was misdiagnosed as invasive cancer on endoscopic biopsy.
키워드
고립성 직장궤양 증후군;용종성 성장;Solitary rectal ulcer syndrome;Polypoid growth
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