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내시경 초음파검사에서 Levovist 투여 후 조영증강을 보인 위점막하 종양
Gastric Submucosal Tumors Showing Contrast Enhancement After Injecting Levovist in Endoscopic Ultrasonography
백순구(Soon Koo Baik),이동기(Dong Ki Lee),정연수(Yon Soo Jeong),김광현(Kwang Hyun Kim),김현수(Hyun Soo Kim),권상옥(Sang Ok Kwon),이종인(Jong In Lee),조미연(Mee Yon Cho)
UCI I410-ECN-0102-2009-510-004921225

Contrast enhancing media has been mainly used in enhancing the color doppler signal so far. Since conventional abdominal ultrasonography can not detect the small particles of contrast enhancer due to its low frequency range, it was rarely used in B-mode imaging. However, endoscopic ultrasonography (EUS) with a high frequency range can detect the particles and produce a contrast-enhancing effect when injecting a contrast enhancer such as Levovist . Gastric submucosal tumor shows various ultrasonograpic features, depending on histopathology, but its differential diagnosis is limited. We experienced two cases where the enhancing features on EUS for submucosal tumors were recognized by using Levovist and this helped preoperative prediction of differential diagnosis. The use of contrast enhancer such as Levovist during EUS of submucosal tumor enables us to learn the hemodynamic features of the tumor. Therefore, the differential diagnosis and prediction of the characteristics of the submucosal tumor are possible with this helpful modality. (Kor J Gastroenterol 2000;35:644 - 648)

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