Àá½Ã¸¸ ±â´Ù·Á ÁÖ¼¼¿ä. ·ÎµùÁßÀÔ´Ï´Ù.

44°³¿ù°£ÀÇ °æ°ú°üÂû Áß¿¡ ¾Ç¼ºÀ¸·Î º¯È­ÇÑ À§ °£ÁúÁ¾¾ç 1¿¹

Malignant Transformation of Gastric Gastrointestinal Stromal Tumor in 44 Months Observational Period: A Case Report

´ëÇѼÒÈ­±â³»½Ã°æÇÐȸÁö 2010³â 41±Ç 1È£ p.21 ~ 25
·ùÃæÇå ( Ryu Chung-Heon ) - ÀÎÁ¦´ëÇб³ Àǰú´ëÇÐ ºÎ»ê¹éº´¿ø ³»°úÇб³½Ç

±èÁöÇö ( Kim Ji-Hyun ) - ÀÎÁ¦´ëÇб³ Àǰú´ëÇÐ ºÎ»ê¹éº´¿ø ³»°ú
¹Ú°ü½Ä ( Park Kwan-Sik ) - ÀÎÁ¦´ëÇб³ Àǰú´ëÇÐ ³»°úÇб³½Ç
¼­È¿¸² ( Seo Hyo-Rim ) - ÀÎÁ¦´ëÇб³ Àǰú´ëÇÐ ³»°úÇб³½Ç
ÃÖÀ±Á¤ ( Choi Yun-Jung ) - ÀÎÁ¦´ëÇб³ Àǰú´ëÇÐ ³»°úÇб³½Ç
ÇϽÂÀΠ( Ha Seoung-In ) - ÀÎÁ¦´ëÇб³ Àǰú´ëÇÐ ³»°úÇб³½Ç
±èÀ±Á¤ ( Kim Yoon-Jung ) - ÀÎÁ¦´ëÇб³ Àǰú´ëÇÐ ºÎ»ê¹éº´¿ø ³»°úÇб³½Ç
¼³»ó¿µ ( Seol Sang-Yong ) - ÀÎÁ¦´ëÇб³ Àǰú´ëÇÐ ³»°úÇб³½Ç

Abstract

À§Àå°ü °£ÁúÁ¾¾çÀº °£¿±Á¶Á÷ ±â¿øÀÇ Á¾¾ç Áß °¡Àå ÈçÇÑ Á¾¾çÀÌ´Ù. À§Àå°ü °£Áú Á¾¾çÀº 3 cm ÀÌÇÏÀÇ Å©±âÀÎ °æ¿ì ȯÀÚÀÇ ³ªÀÌ, ¼øÀÀµµ, °Ç°­»óÅÂ, °Ë»çÀÚÀÇ ¾Ç¼º ÀÇ½É Á¤µµ¿¡ µû¶ó ÃßÀû°Ë»ç¸¦ ÇØ¾ß ÇÑ´Ù°í ¾Ë·ÁÁ® ÀÖ°í, ¾à 2³â¸¶´Ù ³»½Ã°æÃÊÀ½ÆÄ ÃßÀû °Ë»ç¸¦ ÇÏ¿©, 2¹øÀÇ ³»½Ã°æÃÊÀ½ÆÄ¿¡¼­ Å©±âÀÇ º¯È­°¡ ¾ø´Ù¸é, ÃßÀû°Ë»ç±â°£À» ´Ã¸± ¼ö ÀÖ´Ù°í ÇÏ¿´´Ù. ÇÏÁö¸¸ ÀúÀÚµéÀº ¾ç¼ºÀÇ ³»½Ã°æÃÊÀ½ÆÄ ¼Ò°ß ¹× 3 cm ÀÌÇÏÀÇ À§Àå°ü °£ÁúÁ¾¾çÀ¸·Î ³»¿øÇÑ 45¼¼ ¿©ÀÚ¿¡¼­ ¾à 44°³¿ù°£ 3¹øÀÇ ÃßÀû ³»½Ã°æ °Ë»ç¿¡¼­ Å©±â º¯È­°¡ ¾ø´Ù°¡, ¸¶Áö¸· ÃßÀû ³»½Ã°æ °Ë»ç 6°³¿ù ÈÄ º¹ºÎ ºÒÆí°¨À¸·Î ³»¿øÇÏ¿© ½ÃÇàÇÑ ³»½Ã°æÃÊÀ½ÆÄ °Ë»ç¿¡¼­ Å©±âÀÇ º¯È­´Â ¾øÀ¸³ª, Ç¥¸é¿¡ ±Ë¾ç Çü¼ºÀ» º¸À̰í, ³»ºÎÀÇ ºñ ±ÕÁú ¿¡ÄÚ¸¦ º¸¿© ½ÃÇàÇÑ ½û±â ÀýÁ¦¼ú¿¡¼­ ¾Ç¼º À§Àå°ü °£ÁúÁ¾¾çÀ¸·Î È®ÁøÇÑ Áõ·Ê¸¦ °æÇèÇÏ¿© °íÂû°ú ÇÔ²² º¸°íÇÑ´Ù.

Gastrointestinal stromal tumor is a common type of gastrointestinal mesenchymal tumor. Depending on the patient¡¯s age, compliance and health status, and the level of suspicion of malignancy, tumors ¡Â3 cm in size are typically monitored annually by endoscopic ultrasonography. The examination interval can be extended if no size change is noted on consecutive examinations. We report here on a 44-year-old female who presented with abdominal discomfort and displayed no size change of her gastrointestinal stromal tumor on three consecutive endoscopies over a 44- month interval. The patient was diagnosed with malignant gastrointestinal stromal tumor on the basis of the evident ulceration seen on esophagogastroduodenoscopy and the inhomogenous echo noted on the endoscopic ultrasonography and the pathologic findings by gastric wedge resection.

Ű¿öµå

À§Àå°ü °£ÁúÁ¾¾ç; ³»½Ã°æÃÊÀ½ÆÄ
Gastrointestinal stromal tumor; Endoscopic ultrasonography
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
 
µîÀçÀú³Î Á¤º¸
KCI
KoreaMed
KAMS