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KMID : 0359020040280060312
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Korean Journal of Gastrointestinal Endoscopy
2004 Volume.28 No. 6 p.312 ~ p.316
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A Case of Gastric Lipoma with Early Gastric Cancer Removed by Subtotal Gastrectomy
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Park Ji-Young
Baek Jong-Tae
Lee Dong-Soo
Nam Soon-Woo
Ahn Byung-Min
Jeung Sun-Jong
Bin Hong-Gern
Chung In-Sik
Sun Hee-Sik
Lee Eun-Hee
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Abstract
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Gastric lipomas account for less than 3% of benign gastric tumor arising from the submucosal layer. Gastric lipomas are usually asymptomatic, but occasionally diagnosed from epigastric pain, obstruction and bleeding by their size and location. A 68-year-old female with melena was diagnosed as gastric lipoma, having a bleeding focus at endoscopy. Endoscopy with biopsy revealed a yellowish fat containing Iipoma which was located prepyloric antrum and protruded to the duodenal lumen, and synchoronous adenocarcinoma which was located at the gastric angle and distal body. Adenocarcinoma was confined to the mucosa and seperated from Iipoma by normal stomach tissue. The patient received Billroth-ll subtotoal gastrectomy, and gastric lipoma and early gastric cancer were resected, completely. (Korean J Gastrointest Enclose 2004;28:312 -316)
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KEYWORD
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Gastric lipoma, Early gastric cancer, Bleeding
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