17세 이하에 발견된 위암 2예

Two Cases of Teenage Gastric Cancer Patients

  • 김훈엽 (서울대학교 의과대학 외과학교실) ;
  • 박도중 (서울대학교 의과대학 외과학교실 및 암연구소) ;
  • 박효진 (서울대학교 의과대학 병리학교실) ;
  • 이혁준 (서울대학교 의과대학 외과학교실 및 암연구소) ;
  • 양한광 (서울대학교 의과대학 외과학교실 및 암연구소) ;
  • 김우호 (서울대학교 의과대학 병리학교실 및 암연구소) ;
  • 이건욱 (서울대학교 의과대학 외과학교실) ;
  • 최국진 (서울대학교 의과대학 외과학교실)
  • Kim Hoon Yub (Department of Surgery Seoul National University College of Medicine) ;
  • Park Do Joong (Department of Surgery and Cancer Research Institute Seoul National University College of Medicine) ;
  • Park Hyo Jin (Department of Surgery Pathology Seoul National University College of Medicine) ;
  • Lee Hyuk-Joon (Department of Surgery and Cancer Research Institute Seoul National University College of Medicine) ;
  • Yang Han-Kwang (Department of Surgery and Cancer Research Institute Seoul National University College of Medicine) ;
  • Kim Woo Ho (Department of Pathology and Cancer Research Institute Seoul National University College of Medicine) ;
  • Lee Kuhn Uk (Department of Surgery Seoul National University College of Medicine) ;
  • Choe Kuk Jin (Department of Surgery Seoul National University College of Medicine)
  • 발행 : 2004.09.01

초록

Recently, we experienced two advanced gastric cancer (AGC) patients younger than 17 years of age. The first case was a 15-year, 2-month-old male who had suffered from epigastric soreness for 5 weeks. His grandfather died of gastric cancer at 39 years of age. Under the diagnosis of AGC, he underwent a total gastrectomy with D2 lymph node dissection. There was no evidence of distant metastasis. Pathologic examination revealed a 4.5$\times$4 cm, signet ring cell adenocarcinoma with subserosal invasion and with metastasis in 9 of 42 regional lymph nodes (T2bN2M0). The second case was a 17-year, 11-month-old male who had suffered from epigastric pain for 2 years without familial clustering. Under the diagnosis of AGC, he underwent a distal subtotal gastrectomy with D2 lymph node dissection. There was no evidence of distant metastasis. Pathologic examination revealed a 3$\times$2 cm, signet ring cell adenocarcinoma with subserosal invasion and with metastasis in 9 of 45 regional lymph nodes (T2bN2M0). The two patients have been alive without recurrence for 27 months and 4 months, respectively. Even among teenagers, patients with abdominal complaints should be subjected to a thorough examination of the gastrointestinal tract.

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