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KMID : 0882420040670010078
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Korean Journal of Medicine
2004 Volume.67 No. 1 p.78 ~ p.82
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A case of gastritis cystica profunda with early gastric cancer
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Jo Mi-Ae
Kim Sung-Hun
Kim Soo-Hyun
Choi Se-Lim
Lee Jae-Seung
Choi Seong-Ho
Park Hee-Sung
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Abstract
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We report a rare case of adenocarcinoma with multiple gastritis cystica profunda that develope in a 56-year-old man. We found early gastric cancer at the gastric angle. And some cystic lesion was present at lesser curvature of the body. Gastrectomy was performed for confirmation and treatment. Gastritis cystica profunda (GCP) is usually characterized by multiple cystic mass in the mucosa and submucosa of the stomach. It is rare disease which is mainly found at the stoma site of gastroenterostomy. Occasionally GCP develops in the stomach without previous history of surgery. Most common feature of GCP is sessile polypoid protrusion but, submucosal tumor, giant gastric mucosal fold and pedunculated mass are found. Some evidence suggests that downward adenocystic proliferation of glands is a dysplastic or precancerous change. But we know that these submucosal cystic lesion may not be precancerous. Thus cystic mass must be distinguished from Menetrier’s disease, Zollinger-Eillison’s syndrome, and other malignancy.(Korean J Med 67:78-82, 2004)
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KEYWORD
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Gastritis cystica profunda, Stomach neoplasms, Gastritis, Polyp
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