대한소화기내시경학회 월례집담회 영남대학교병원 소화기내과 김용길
Case (67/M) C/C : epigastiric pain for 2 days P/I : 평소 특별한 증상 없이 지내던 중 내원 2일전부터 epigastric pain있어 방문 PMHx. : DM(+)-1년 전 진단 OHA 복용 HTN(+)-5년 전 진단 ARB복용 Social Hx. : alcohol (+) – social smoking(+) – Ex-smoker
Phsical examination BP 120/80 mmHg, Pulse rate 94회 Respiratory rate 20/min, Body temperature 37˚C Weight loss 4kg/yr pale conjunctiva otherwise unremarkable
Laboratory finding CBC : WBC 14.180/mm3 Hb 9.1g/dL Platelet 987.000/mm3 Glu 239mg/dL, TP 6.54g/dL, Alb 3.53g/dL, T-bil 0.28mg/dL, AST 15U/L, ALT 17U/L, BUN 14.23mg/dL, creatinine 0.92mg/dL, Na 131mEq/L, K 4.9mEq/L, Cl 94mEq/L Urinalysis : Glu (+++) CEA 2.0ng/ml CA 19-9 12.24U/ml
GFS
Radiologic finding
PET
CFS
Summary of initial study CT : benign < malignancy PET : benign < malignancy CFS : unremarkable Pathologic finding : definitively benign ulcer
F/U GFS F/U after 1month F/U after 3month CLO (+)
Pathologic finding H&E X40
F/U GFS F/U GFS after 1yr H & E X40
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