1.A Case of Gastritis Cystica Profunda with Long Pendulous Pedicle.
Bum Chan KWEON ; Jin Seouk PARK ; Kyung Soon SHIN ; Duk Hyun LEE ; Hyo Jong BAEK ; Choong Ki LEE
Korean Journal of Gastrointestinal Endoscopy 1999;19(1):81-83
Gastritis cystica profunda (GCP) is a rare disease which is mainly observed at the site of gastroenterostomy. However, it may occur in the stomach without a previous history of surgery. Under histologic examination GCP shows hyperplastic and cystic dilatation of the pseudopyloric glands with submucosal invasion. GCP with sessile polypoid pro-trusion is most commonly found but, submucosal tumors, giant gastric mucosal folds and pedunculated forms are occasionally found. We present the case of GCP showing a large sized polyp (3 2.5 2.5 cm) with a long pendulous pedicle that had developed in the fundus of the stomach without previous surgical history. Endoscopic polypectomy was performed for confirmation.
Dilatation
;
Gastritis*
;
Gastroenterostomy
;
Polyps
;
Rare Diseases
;
Stomach
2.A Case of Relapsing Polychondritis.
Dong Hwan LEE ; So Jeong KWON ; Jin Seouk PARK ; Chang Keun WOO ; Chang Ki LEE ; Joong Ha HWANG ; Byung Ki LEE ; Choong Ki LEE
The Journal of the Korean Rheumatism Association 1997;4(2):173-179
Relapsing polychondritis is an uncommon disease manifested by episodes of progressive inflammation and destruction of cartilage. While the cause remains unknown, an autoimmune pathogenesis appears likely. Characteristic features include auricular chondritis, arthritis, nasal chondritis, ocular inflammation, respiratory tract involvement and audiovestibular damage. The clinical course of patients may vary from a relatively benign illness free of clinically evident visceral involvement, to one of episodic or smoldering activity with variable intensity, to a f ulminant illness and death within months of diagnosis. Dapsone, corticosteroid and immunosuppressive agent remain the effective therapies. We have experienced a case of relapsing polychondritis and active pulmonary tuberculosis in a 69-year-old man. He suffered from arthralgia and swelling of joints for several months on the first admission and initially was diagnosed as pseudogout based on polyarthritis and chondrocalcinosis of right knee joint. During follow-up, chondritis of both auricles and nose, which was proved by the biosy of right auricle, and relapse of polyarthritis were developed. His spu tum smear for acid-fast bacillus was postive on the second admission. Then he was diagnosed as relapsing polychondritis and active pulmonary tuberculosis and has achieved improvement with medication of dapsone and antituberculosis drugs according to susceptability test during followed-up. Thus we report this case with literature review.
Aged
;
Arthralgia
;
Arthritis
;
Bacillus
;
Cartilage
;
Chondrocalcinosis
;
Dapsone
;
Diagnosis
;
Follow-Up Studies
;
Humans
;
Inflammation
;
Joints
;
Knee Joint
;
Nose
;
Polychondritis, Relapsing*
;
Recurrence
;
Respiratory System
;
Tuberculosis, Pulmonary
3.A Case of Mesenteric Fibromatosis after Appendectomy.
Keun Ha NAM ; Bum Chan KWEON ; Han Kyun LEE ; Dong Wook LEE ; Chang Keun WOO ; Jin seouk PARK ; So Jung KWEON ; Joong Ha HWANG ; Choong Ki LEE
Korean Journal of Medicine 1998;54(4):577-581
Mesenteric fibromatosis is a rare nonmetastasizing fi brous tumor, characterized by fibroblastic proliferation without evidence of inflammatory response or definite neoplasia. It appears at any age, but mainly in the second to fifth decades as incidence of two to four desmoid tu mor cases per 1 million people per annum. It is pseudoen capsulated and locally invasive and has a tendency to recur, but metastases are rare. It is more frequent with Gardner's syndrome(adenomatosis coli) in which 50% of them will appear as mesenteric fibromatosis. Trauma, especially that of previous surgery, has been associated with the subsequent development of desmoid tumor. The treatment of choice is a wide margin resection of the tumor. we experienced a case of mesenteric fibromatosis without Gardner's syndrome 2 years after appendectomy in a 31-year old man and recurred at 21 months after resection and report with a review of literatures. 6
Adult
;
Appendectomy*
;
Fibroblasts
;
Fibroma*
;
Fibromatosis, Aggressive
;
Gardner Syndrome
;
Humans
;
Incidence
;
Neoplasm Metastasis
4.A Case of Multiple Leiomyoblastoma of the Stomach.
Suck Jun KIM ; Chang Gi LEE ; Jin Seouk PARK ; Chang Keun WOO ; So Jung KWON ; Sang Moon LEE ; Choong Ki LEE ; Hyo Jong BAEK
Korean Journal of Gastrointestinal Endoscopy 1997;17(6):806-811
Gastric leiomyoblastoma is an uncommon intramural tumor, Its been regarded as a tumor of smooth muscle origin by its histological and electronmicroscopic characteristics. However, recent immunohistochemical staining techniques have shown that tumors diagnosed as leiomyoblastoma may have different tumor origins. We report a case of multiple leiomyoblastoma of the stomach thought to be of unknown derivation by Immunohistochemical study.
Leiomyoma, Epithelioid*
;
Muscle, Smooth
;
Stomach*