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KMID : 0614620110580040208
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Korean Journal of Gastroenterology
2011 Volume.58 No. 4 p.208 ~ p.211
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A Case of Gastric Lymphoepithelioma-like Carcinoma Presenting as Panperitonitis by Perforation of Stomach
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Goh Pyung-Gohn
Kim Eui-Sik
Kim Yun-Jeung
Lee Soo-Youn
Moon Hee-Seok
Kim Seok-Hyun
Lee Byung-Seok
Jeong Hyun-Yong
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Abstract
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Gastric lymphoepithelioma-like carcinoma is a rare carcinoma among gastric malignant tumor but has a good prognosis. The carcinoma has histologic feature characterized by small nest of cancer cells mixed with lymphoid stroma. We report a case with lymphoepithelioma-like carcinoma of stomach initially presenting as panperitonitis because of spontaneous tumor perforation. A 56-year-old man visited our emergency room because of epigastric pain. A preoperative abdominal CT scan showed a massive pneumoperitoneum in the upper abdomen, and the presence of gastric cancer in the lesser curvature of the stomach. An emergent laparotomy was performed followed by radical subtotal gastrectomy. Pathologic examination revealed that the tumor was a lymphoepithelioma-like gastric carcinoma.
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KEYWORD
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Gastric lymphoepithelioma-like carcinoma, Spontaneous tumor perforation
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