다발성 용종으로 발현된 변연부 B세포 위 림프종
A Case of Primary Gastric Marginal Zone B-Cell Lymphoma Presenting as Multiple Polyps
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초록
변연부 B세포 림프종이 위에서 용종의 형태로 나타나는 경우는 매우 드물며 특히 다발성 용종의 형태로 발현된 경우는 보고되지 않았다. 국내에서는 다발성 용종 형태의 원발성 대장 변연부 B세포 림프종이 보고된 적이 있으나, 위에 국한되어 나타난 증례 보고가 없었다. 이에 저자들은 상부위장관 내시경상 다발성 용종 형태 의 원발성 변연부 B세포 위 림프종으로 진단된 후 복합항암화학요법을 시행하여 완전 관해를 이룬 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Marginal zone B-cell lymphoma of the gastrointestinal tract most commonly affects the stomach. Endoscopic findings of primary gastrointestinal lymphoma are various and heterogeneous. Lesions may appear as ulcers, erosions, or erythemas. Gastrointestinal lymphomas presenting as multiple polyps on endoscopy are rare. No case of marginal zone B-cell lymphoma manifesting as multiple polyps has been reported on the stomach, although a few cases have been reported in the colon. We present a rare case of a 77-year-old female patient diagnosed as primary gastric marginal zone B-cell lymphoma presenting as multiple polyps. She was fully treated by combination chemotherapy. (Korean J Med 2011;80:S73-S77)
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