육아종으로 오인하기 쉬운 눈물언덕 부위의 점막연관림프조직 림프종 1예
A Case of MALToma Masquerading as a Lacrimal Caruncular Granuloma
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목적: 육아종으로 오인한 점막연관림프조직 림프종 1예를 경험하였기에 이를 보고하고자 한다. 증례요약: 38세 여자가 1개월 전에 발생한 우안 눈물점 근처의 덩이를 주소로 타 병원에서 치료하였으나 호전되지 않아 조직검사및 수술적 치료를 위해 내원하였다. 본원에 내원하여 시행한 이학적 검사에서 우측 눈물언덕에 융기된 4 mm 크기의 종물이 관찰되었다. 종물은 결막에서 자라나오는 분홍빛 원형의 육아종과 유사하였다. 덩이에 대하여 외과적 절제 및 조직검사에서 점막연관림프조직림프종으로 확인되었다. 결론: 결막에서 종물이 발견된 경우 육아종과 유사한 양성 종양의 모양이라도 점막연관림프조직 림프종과 같은 악성 종양의 가능성도염두하고 적절한 병리조직검사를 시행하는 것이 필요할 것으로 생각된다.
Abstract
Purpose: To report a case of mucosa-associated lymphoid tissue lymphoma (MALToma) that presented as a lacrimal caruncular granuloma. Case summary: A 38-year-old woman presented with a mass in the right lacrimal caruncle and had a history of incision and drainage. Examination revealed a 4-mm elevated mass at the lacrimal caruncle, which resembled a granuloma. The mass was excised under local anesthesia and a MALToma was diagnosed based on the histopathological examination. Conclusions: Although rare, a MALToma can present as a granuloma-like lacrimal caruncular mass. Excision and biopsy of the lacrimal caruncular mass are essential to obtain a definitive diagnosis.
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