위선종의 (胃腺腫) 임상적 (臨床的) 관찰 = Clinical Observation of Gastric Adenoma위선종의 (胃腺腫) 임상적 (臨床的) 관찰

다국어 초록 (Multilingual Abstract)

Gastric adenoma is a benign polypoid growth called borderline epithelial lesion, atypical epithelial lesion or flat adenoma. Some authors suggest that it may be a precancerous lesion and its frequent association with gastric carcinoma raises a possibility of its malignant potentiality although unclarified. In this context, we assessed 15 cases with gastric adenoma who visited Koryo General Hospital from 1981 to 1986 and obtained following results. 1) The most patients were in the seventh decade followed by the sixth decade, mean age being 61. 9. The ratio of male to female was 1:1.1. 2) The common clinical symptoms with which patients presented were indigestion (80.0%), epigastric pain and loss of appetite. Epigastric tenderness was observed in 40% of patients on physical examination. 3) UGI series taken in 9 patients showed findings compatible with malignant tumor in 3 cases, peptic ulcer in 3 cases and normal finding in 3 cases. 4) Gastroscopic findings of adenomas were pedunculated polypoid mass in 4 cases, elevated lesion in 2 cases, and multiple small nodules in 1 case. In remaining 8 cases, only nonspecific findings such as superficial ulcers or chronic inflammation were observed. 5) In most cases (13 of 15 cases), gastric adenoma was located in the pyloric antrum as a single in numher. 6) Histologically, only one case was associated adenocarcinoma and two cases showed cellular atypism suspected of malignant change although there was no evidence of malignant cell. 7) 12 cases showed symptomatic improvement with medical treatment and 3 cases who were suspected or confirmed as malignancy by endoscopic biopsy took surgery,