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J Korean Cancer Assoc > Volume 27(1); 1995 > Article
Journal of the Korean Cancer Association 1995;27(1): 144-151.
위벽외 성장을 하면서 누관을 동반하였던 거대 위평활근 아세포종 1 예
이규진, 주대환, 노상현, 김형권, 최선희, 오형석, 양윤식, 정연재
A Case of Exogastric Growing Giant Gastric Leiomyoblastoma with Fistula
Kyu Jin Lee, Dae Hwang Ju, Sang Hyun Rho, Hyeong Kweon Kim, Seon Hee Choi, Hyeong Seok Oh, Yun Sik Yang, Yeon Jae Cheong
ABSTRACT
Liomyoblstoma, which has first proposed by Stout in 1962, is a rare disease that has a benign clinical course. But about 8-13% of cases change to malignancy. In complicated case, hemorrhage, necrosis, fistula formation can occur. A case of exogastric growing giant leiomyoblastoma with fistula manifested as hamate- mesis is presented. A 61-year old male patient suffering from massive hematemesis and epigastric discomfort for 1 month was proved to have large gastric leiomyoblastoma which had com- municating fistula into the gastric lumen by gastrofibroscopy and abdominal CT scanning. At operation, the mass was originated at lesser curvature of the stomach and located under pos- terior wall of the stomach and the transverse mesocolon waa protruded by the mass. The easily bleeding, multi-pedunculated mass was resected and diagnosed as leiomyoblastoma by Masson-trichrome and Vimentin stain. He is good health without evidence of disease, 2 months after operation.
Key words: Gastric leiomyoblastoma, Exogastric growth, Fistula
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