Song Young Lim, Park Joon Yong, Kim Yong Bum, Kang Ki Joo, Kim Hee Seon, Choi Dae Ro, Yoon Ho Sung, Lee Ja Young, Kim Kyung Ho, Lee Jin Heon, Kim Hak Yang, Yoo Jae Young
Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea.
Korean J Gastroenterol. 2004 Jan;43(1):52-5.
Gastritis cystica profunda is usually characterized by hyperplastic and cystic dilatation of pseudopyloric gland with submucosal invasion. These lesions possess malignant histologic features as metaplastic and even dysplastic alteration can be observed, however they usually exhibit benign behavior. Macroscopically, gastritis cystica profunda may present as a submucosal tumor or as a polyp. In rare case, however, it can be found as a giant mucosal fold. The proposed pathogenesis of lesion relates to ischemia, chronic inflammation, and the presence of foreign body. Herein, we report a case of gastritis cystica profunda associated with high grade tubular adenoma in a patient without antecedent surgery.
深部囊性胃炎通常表现为假幽门腺的增生性和囊性扩张,并侵犯黏膜下层。这些病变具有恶性组织学特征,因为可以观察到化生甚至发育异常改变,然而它们通常表现为良性行为。在宏观上,深部囊性胃炎可能表现为黏膜下肿瘤或息肉。然而,在罕见情况下,它可表现为巨大黏膜皱襞。病变的推测发病机制与缺血、慢性炎症和异物存在有关。在此,我们报告一例无前驱手术史患者发生的深部囊性胃炎合并高级别管状腺瘤的病例。