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Permalink : https://petit.lib.yamaguchi-u.ac.jp/18643
山口医学 Volume 58 Issue 4
published_at 2009-08-31
A case of early gastric cancer based on diffuse cystic malformation treated by endoscopic submucosal dissection
内視鏡的粘膜下層剥離術(ESD)にて加療した多発胃粘膜下異所腺(DCM)を背景とする早期胃癌の1例
Oe Shinji
Yanai Hideo
Tanioka Yukari
Sakaguchi Eiki
Yutoku Koki
Murakami Tomoyuki
Okamoto Mariko
About This Article
Descriptions
症例は,80歳代男性.胃精査の過程で超音波内視鏡検査(Endoscopic ultrasonography,EUS)にて多発胃粘膜下異所腺(diffuse cystic malformation, DCM)を診断.経過観察中に早期胃癌を確認し,内視鏡的粘膜下層剥離術(Endscopic submucosal dissection,ESD)を施行した.DCMの診断にはEUSが有用であった.下床,側方を含めた十分な内視鏡的切除にはESDが有用であった.DCMは胃癌の並存病変として知られている.そのため,上部消化管内視鏡検査にて境界不明瞭な隆起を認めた場合には,EUSを積極的に行い,DCMが存在する場合には多発胃癌のハイリスクグループとしての経過観察が重要である.
Creator Keywords
多発胃粘膜下異所腺
早期胃癌
内視鏡的粘膜下層剥離術
Other Article
PP. 143 - 148
PP. 149 - 154
PP. 155 - 159