The Korean Journal of Cytopathology (대한세포병리학회지)

The Korean Society for Cytopathology (대한세포병리학회)
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Endoscopic Ultrasound-Guided Fine Needle Aspiration Cytology in the Diagnosis of a Gastrointestinal Stromal Tumor of the Stomach -A Case Report -

내시경 초음파 유도하에 세침흡인 세포검사로 진단한 위의 위장관 기질 종앙 1예 보고

  • Kim, Lucia (Department of Pathology, College of Medicine, Inha University) ;
  • Kim, Hyung-Gil (Department of Gastroenterology, College of Medicine, Inha University) ;
  • Chu, Young-Chae (Department of Pathology, College of Medicine, Inha University) ;
  • Park, In-Suh (Department of Pathology, College of Medicine, Inha University) ;
  • Choi, Suk-Jin (Department of Pathology, College of Medicine, Inha University) ;
  • Han, Jee-Young (Department of Pathology, College of Medicine, Inha University) ;
  • Kim, Sun-Hee (Department of Pathology, College of Medicine, Inha University) ;
  • Lee, Don-Haeng (Department of Gastroenterology, College of Medicine, Inha University) ;
  • Kim, Joon-Mee (Department of Pathology, College of Medicine, Inha University)
  • 김루시아 (인하대학교 의과대학 부속병원 병리과) ;
  • 김형길 (인하대학교 의과대학 부속병원 소화기내과) ;
  • 주영채 (인하대학교 의과대학 부속병원 병리과) ;
  • 박인서 (인하대학교 의과대학 부속병원 병리과) ;
  • 최석진 (인하대학교 의과대학 부속병원 병리과) ;
  • 한지영 (인하대학교 의과대학 부속병원 병리과) ;
  • 김선희 (인하대학교 의과대학 부속병원 병리과) ;
  • 이돈행 (인하대학교 의과대학 부속병원 소화기내과) ;
  • 김준미 (인하대학교 의과대학 부속병원 병리과)
  • Published : 2008.09.30
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Abstract

We report here a case of a gastrointestinal stromal tumor (GIST) in the stomach that was diagnosed by endoscopic ultrasound-guided fine needle aspiration cytology (EUS-FNA). A 67 year old male patient underwent regular check-ups for five years due to the presence of a submucosal tumor that was found in the fundus of the stomach incidentally. EUS-FNA was performed to evaluate the tumor, which had increased in size from 1 cm to 2.8cm. A cytologic smear revealed cohesive sheets or clusters of spindle cells with elongated nuclei. Immunohistochemical staining revealed a strong positive reaction for c-kit and CD34, without any reaction for smooth muscle actin and Ki-67. Therefore, a diagnosis of GIST was made.

Keywords

References

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