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논문 기본 정보

자료유형
학술저널
저자정보
양승오 (국군 수도병원 방사선과)
저널정보
대한영상의학회 대한방사선의학회지 대한방사선의학회지 제22권 제4호
발행연도
1986.1
수록면
574 - 581 (8page)

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Diffuse tremendous thickening of gastric wall caused by excessive proliferation of the mucosa of unknown cause was first decribed by Nenetrier in 1888. The disease is highly uncommon, but the exact preoperative diagnosis a crucial because of the more excellent prognosis than other malignant lesions including gastric lymphoma and in filtrative gastric carcinoma. The authors recently experienced a case of Menetrier's disease which had been diagnosed as gastric lymphoma preoperatively. Radiologic differentiation is not impossible between this extremely rare disease and other mimicking malignant lesions, that is the reason why we introduce radiographic findings of the case by comparison with gastric with gastric lymphoma of giant rugal type and infiltrative gastric carcinoma. Typical upper G-I series findings of the case are ; 1) Enlarged tortuous proximal gastric rugal folds only along the greater curvature, 2) Perpendicular lines of barium spicules trapped by apposed folds with clubbed or forked appearance, 3) Abrupt transition of the lesion to normal stomach, 4) No luminal narrowing and retained but sluggish peristalsis. Thus radiolgists can diagnose Menetrier's disease scrupulously based on critical application of enlarged folds pattern and extent of the lesion in association with other radioligic features and clinical history of fairly long duration. Brief review of clinical and pathologic features about Menetrier's disease is included.

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