A Case of Early Gastric Cancer Resected Completely by Diagnostic Endoscopic Mucosal Resection Presented as Large Gastric Ulcer Bleeding |
Min Ji Kim, Sam Ryong Jee, Sung Hyun Kim, Seung Jung Ryu, Seo Woo Ryu, Jin Won Hwang |
Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. srjee@inje.ac.kr |
큰 궤양 출혈로 내원하여 진단 점막절제술로 완전 절제된 조기위암 1예 |
김민지, 지삼룡, 김성현, 류승정, 류서우, 황진원 |
인제대학교 의과대학 부산백병원 내과학교실 |
|
Abstract |
During the life cycle of early gastric cancer, some malignant ulcers may undergo partial or complete mucosal repair. Endoscopic visualization alone cannot reliably discriminate benign from malignant gastric ulcers. A 45-year-old man visited our hospital complaining of hematemesis. Endoscopy revealed a 2x2 cm sized, deep ulcer with adherent clots at the posterior wall of the gastric body. Proton pump inhibitor was prescribed for 2 months. Diagnostic endoscopic mucosal resection was performed. Histology revealed an early gastric cancer involving the lamina propria which was resected completely. |
Key Words:
Early gastric cancer; Endoscopic mucosal resection; Ulcer bleeding |
|