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KMID : 0359020040280020092
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Korean Journal of Gastrointestinal Endoscopy
2004 Volume.28 No. 2 p.92 ~ p.96
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A Case of Cytomegalovirus Gastric Ulcer Mimicking Gastric Cancer in an Immunocompetent Host
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Pyun Rae-Hyun
Ko Kwang-Hyun
Kim Esther
Kwak Sun Young
Hong Sung-Pyo
Hwang Seong-Gyu
Park Pil-Won
Lim Kyo Sumg
Kang Hye-Yun
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Abstract
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A 27-year-old woman presented with epigastric pain. Abdominal computed tomography revealed an irregular ulcer with circumferential thickening of the gastric antral wall. An endoscopy suggested advanced gastric cancer or gastric lymphoma. Biopsy of the lesion showed an inclusion body of the cytornegalovirus and positive immunohistochemical staining of the infected cell for cytornegalovirus. A thorough evaluation of her immune system revealed no abnormality. General supportive treatment for gastric ulcer did not relieve her symptoms. Intravenous infusion of ganciclovir improved her symptoms and healed the ulcer. We report a case of cytornegalovirus-associated gastric ulcer mimicking malignancy in an immunocompetent woman. (Korean J Gastrointest Endosc 2004;28: 92 -96)
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KEYWORD
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Cytomegalovirus, Stomach ulcer, Immunocompetent host
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