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KMID : 0931320130130040248
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대한상부위장관.헬리코박터학회지
2013 Volume.13 No. 4 p.248 ~ p.251
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A Case of Gastric Calcifying Fibrous Tumor Presenting as a Subepithelial Tumor
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Jang Eun-Young
Kim Hyo-Jin
Kim Jung-Hee
Lee Se-Ok
Choi Kyu
Lee Jun-Haeng
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Abstract
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Gastric subepithelial tumor is a common finding of upper gastric endoscopy. Differential diagnosis is needed, sometimes a rare dis-ease can be found. Calcifying fibrous tumor is a rare benign fibrous tumor, and mostly affects children and young adults. It can in-volve all over the body, and shows predilection for abdominal cavity and peritoneum. Stomach lesions are quite rare. We report a case of a 43-year-old woman with a calcifying fibrous tumor presenting as gastric subepithelial tumor. Initially, a subepithelial lesion measuring 8 cm in diameter was incidentally found on her gastric endoscopy, and she had no symptoms. Computed tomography showed an exophytic mass originating from the gastric wall. Laparoscopic wedge resection was performed on the suspicion of gas-trointestinal stromal tumor. Pathologically, the tumor showed hypocellular and densely hyaline collagen. Psammomatous calcifica-tions and fibroblastic spindle cells were also found. On the basis of pathological findings, calcifying fibrous tumor was diagnosed.
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KEYWORD
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Calcifying fibrous tumor, Subepithelial tumor, Stomach
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