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Korean J Helicobacter  Up Gastrointest Res > Volume 15(4); 2015 > Article
The Korean Journal of Helicobacter  and Upper Gastrointestinal Research 2015;15(4):274-278.
DOI: https://doi.org/10.7704/kjhugr.2015.15.4.274    Published online December 10, 2015.
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


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