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胃에 發生한 原發性 Adenoacanthoma

A Case of Adenoacanthoma of the Stomach

대한외과학회지 1969년 11권 5호 p.325 ~ 328
김상준, 張瑄澤,
소속 상세정보
김상준 (  ) - 韓國醫科學硏究所 府屬 聖心病院外科
張瑄澤 (  ) - 韓國醫科學硏究所 府屬 聖心病院外科

Abstract


A case of primary adenoacanthoma of the stomach is reported in view of its rarity and obscure origin.
The patient was a 38 years old male who has been complained of severe epigastric pain, melena, general weakness and weight loss since Feburary 1968.
On physical examination, he was emaciated, pale and irritable. Abdomen was moderately distended but no mass was palpablc. Upper G.I. series showed irregular polypoid mass at the fundus and cardiac portion of the stomach. Relative filling defect was demonstrated on fill up phase of X-ray film.
Total gastrectomy with splenectomy and partial pancreatectomy was followed by uneventful recovery. The excised specimen shown intact cardioesophageal junction and a tumor mass with ulceration which adherent to the tail of the pancreas and omentum. The hilus of the spleen was also invaded by tumor directly. Literatures regarding with squamous cell components of stomach carcinoma were reviewed.
Microscopically the tumor mass was composed of glandular cancer and squamous cell carinoma.

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