Korean J Gastrointest Endosc.
2003 Jul;27(1):38-41.
A Case of Gastric Mucinous Adenocarcinoma Presenting as a Characteristic Mucin Pool
- Affiliations
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- 1Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea. risingsun@hallym.ac.kr
- 2Department of General Surgery, Hallym University College of Medicine, Seoul, Korea.
- 3Department of Radiology, Hallym University College of Medicine, Seoul, Korea.
- 4Department of Pathology, Hallym University College of Medicine, Seoul, Korea.
Abstract
- Mucinous adenocarcinoma is a rare histologic type of gastric carcinoma. Most mucinous gastric carcinoma is diagnosed by histology after surgical resection. However, in this report, we preoperatively predicted the type of a tumor (mucinous type) from its characteristic endoscopic finding. An endoscopic examination showed a cauliflower-like mass on the upper body of the posterior wall. At first we could not find the mass because it was covered with a thick mucin-like substance. After gastric lavage and mucin aspiration we found a tumor mass which was surrounded with a characteristic mucin pool. Abdominal CT showed a 6 cm sized-mass connected with the gastric fundus. Total gastrectomy with esophagojejunostomy was performed. The pathology of the tumor proved to be a mucinous adenocarcinoma.
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