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Endoscopic features aiding the diagnosis of gastric mucosa-associated lymphoid tissue lymphoma

이시형|Byung Sam Park
영남대학교 의과대학 (Yeungnam University College of Medicine)|2019.05|Journal of Yeungnam Medical Science|제36권 제2호|pp. 85-91|DOI https://doi.org/10.12701/yujm.2019.00136

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키워드

DiagnosisFollow-up studiesStomach neoplasmsGastrointestinal endoscopyMarginal zone B-cell lymphoma
주제분류의학일반

초록

The incidence of gastric mucosa-associated lymphoid tissue (MALT) lymphoma is increasing worldwide, but the diagnosis is difficult. Most patients are asymptomatic or complain of nonspecific gastrointestinal symptoms. As the endoscopic features of gastric MALT lymphoma are variable and nonspecific, the possibility of this condition may be overlooked during esophagogastroduodenoscopy, and it remain undiagnosed. Therefore, this condition needs to be considered when an abnormal mucosa is observed during this procedure. Biopsy performed during endoscopy is the primary diagnostic test, but false negative results are possible; large numbers of samples should be collected from both normal and abnormal mucosae. Endoscopic ultrasonography is useful to assess the depth of invasion and to predict the treatment response. After treatment, follow-up tests are required every 3 months until complete remission is achieved, and annually thereafter. Early diagnosis of gastric MALT lymphoma is difficult, and its diagnosis and follow-up require wide experience and competent endoscopic technique.

Abstract

The incidence of gastric mucosa-associated lymphoid tissue (MALT) lymphoma is increasing worldwide, but the diagnosis is difficult. Most patients are asymptomatic or complain of nonspecific gastrointestinal symptoms. As the endoscopic features of gastric MALT lymphoma are variable and nonspecific, the possibility of this condition may be overlooked during esophagogastroduodenoscopy, and it remain undiagnosed. Therefore, this condition needs to be considered when an abnormal mucosa is observed during this procedure. Biopsy performed during endoscopy is the primary diagnostic test, but false negative results are possible; large numbers of samples should be collected from both normal and abnormal mucosae. Endoscopic ultrasonography is useful to assess the depth of invasion and to predict the treatment response. After treatment, follow-up tests are required every 3 months until complete remission is achieved, and annually thereafter. Early diagnosis of gastric MALT lymphoma is difficult, and its diagnosis and follow-up require wide experience and competent endoscopic technique.

참고문헌 (49)

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관련 논문AI추천

Correlation of Endoscopic Findings of Gastric Mucosa-Associated Lymphoid Tissue Lymphoma with Recurrence after Complete Remission윤혁, 김나영, 박영수, 신철민, 안병규, 이동호, 이창민, 황재진대한소화기내시경학회 · Clinical Endoscopy2017 · 제50권 제1호Clinical management of gastric mucosa-associated lymphoid tissue lymphomaJi Yong Ahn대한내과학회 · The Korean Journal of Internal Medicine2026 · 제41권 제1호Successful Endoscopic Resection of Gastric Mucosa-Associated Lymphoid Tissue Lymphoma Unresponsive to Helicobacter pylori Eradication TherapyJeongmin Choi대한소화기내시경학회 · Clinical Endoscopy2022 · 제55권 제1호A Polypoid Mucosa-Associated Lymphoid Tissue Lymphoma of the Stomach Treated with Endoscopic Polypectomy민신영, 이준행, 이풍렬대한소화기내시경학회 · Clinical Endoscopy2013 · 제46권 제6호Successful Endoscopic Resection of Residual Colonic Mucosa- Associated Lymphoid Tissue Lymphoma after Polypectomy최정민대한소화기내시경학회 · Clinical Endoscopy2021 · 제54권 제5호내시경적 점막절제술로 진단된 점막하종양과 유사한 형태를 보인 MALT 위림프종 1예김성환, 김연수, 박정훈, 심찬섭, 이영홍, 이준성, 정인섭, 조영관, 조주영, 주현수, 진소영, 한창희대한소화기내시경학회 · Clinical Endoscopy2004 · 제29권 제2호

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