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KMID : 0614620120590060433
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Korean Journal of Gastroenterology
2012 Volume.59 No. 6 p.433 ~ p.436
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Diagnosis of an Accessory Spleen Mimicking a Gastric Submucosal Tumor Using Endoscopic Ultrasonography-guided Fine-needle Aspiration
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Ahn Ji-Yong
Jung Hwoon-Yong
Kim Do-Hoon
Choi Kee-Don
Song Ho-June
Lee Gin-Hyug
Kim Jin-Ho
Hwang Hee-Sang
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Abstract
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Accessory spleen can be mistaken as a gastric subepithelial mass, and may not be differentiated in CT or endoscopic ultrasonography (EUS). A gastric subepithelial mass was detected on routine endoscopy in a 39-year old woman with history of splenectomy. In subsequent CT and EUS, the subepithelial mass was located on the fourth layer of the stomach. To make a definite diagnosis, EUS-guided fine needle aspiration (FNA) was performed, and a splenic tissue was demonstrated in histologic examination. EUS-guided FNA can be beneficial in the diagnosis of accessory spleen which mimics a gastric subepithelial mass. (Korean J Gastroenterol 2012;59:433-436)
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KEYWORD
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Endoscopy, Spleen, Endosonography, Fine-needle biopsy
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