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논문KCI 등재

알코올 간경화 환자에서 진단된 일차성 삼출 림프종 1예

A case of primary effusion lymphoma in a patient with alcoholic liver cirrhosis

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초록

Primary effusion lymphoma (PEL) is a distinct clinical and pathologic entity characterized by malignant lymphomatous effusion in body cavities, without a detectable tumor mass. The tumor is usually associated with human herpes virus 8 (HHV-8) infection and occurs principally in immunodeficient patients, most commonly those with human immunodeficiency virus (HIV) infection. We report a rare case of PEL in an elderly patient negative for HHV8 and HIV. The patient had a history of alcoholic liver cirrhosis and presented with abdominal distention. The patient was treated with three courses of chemotherapy. In spite of the generally poor prognosis associated with this disease, our patient is still alive with no malignant lymphomatous cells in the peritoneal cavity 24 months after treatment. (Korean J Med 75:354-357, 2008)

Abstract

Primary effusion lymphoma (PEL) is a distinct clinical and pathologic entity characterized by malignant lymphomatous effusion in body cavities, without a detectable tumor mass. The tumor is usually associated with human herpes virus 8 (HHV-8) infection and occurs principally in immunodeficient patients, most commonly those with human immunodeficiency virus (HIV) infection. We report a rare case of PEL in an elderly patient negative for HHV8 and HIV. The patient had a history of alcoholic liver cirrhosis and presented with abdominal distention. The patient was treated with three courses of chemotherapy. In spite of the generally poor prognosis associated with this disease, our patient is still alive with no malignant lymphomatous cells in the peritoneal cavity 24 months after treatment. (Korean J Med 75:354-357, 2008)

참고문헌 (15)

  1. Matsumoto Y, "uman herpesvirus 8-negative malignant effusion lymphoma: a distinct clinical entity and succeessful treatment with rituximab", Leuk Lymphoma, 46, pp.415~419 (2005)
  2. Nonami A, "Human herpes virus 8-negative primary effusion lymphoma (PEL) in a patient after repeated chylous ascites and chylothorax", Intern Med, 43, pp.236~242 (2004)
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  4. Jaffe ES, "World health organization classification of tumors: pathology and genetics, tumors of haematopoietic and lymphoid tissues", pp.179~180 (2001), IARC Press
  5. Jenkins C, "Human-immunodeficiency-virus-negative, human-herpes-virus- 8-negative abdominal cavity primary effusion lymphoma", Clin Oncol, 17, pp.636~638 (2005)
  6. Paner GP, "HIV and HHV-8 negative primary effusion lymphoma in a patient with hepatitis C virus-related liver cirrhosis", Leuk Lymphoma, 44, pp.1811~1814 (2003)
  7. Ascoli V, "Human herpes virus-8 associated primary effusion lymphoma of the pleural cavity in HIV-negative elderly men", Eur Respir J, 14, pp.1231~1234 (1999)
  8. Youngster I, "An unusual cause of pleural effusion", Age Ageing, 35, pp.94~96 (2006)
  9. Shimazaki M, "An unusual case of primary effusion lymphoma in a HIV-negative patient not pathogenetically associated with HHV8", Eur J Haematol, 71, pp.62~67 (2003)
  10. Das D, "Serous effusion in malignant lymphomas: a review", Diagn Cytopathol, 34, pp.335~347 (2006)
  11. Hara T, "Primary effusion lymphoma in a patient with hepatitis C virus-related liver cirrhosis", J Gastroenterol Hepatol, 16, pp.948~949 (2001)
  12. Boulanger E, "Human herpesvirus 8 (HHV-8)-associated peritoneal primary effusion lymphoma (PEL) in two HIV-negative elderly patients", Am J Hematol, 76, pp.88~91 (2004)
  13. Inoue Y, "Durable remission by sobuzoxane in an HIV-seronegative patient with human herpesvirus 8-negative primary effusion lymphoma", Int J Hematol, 79, pp.271~275 (2004)
  14. Perez CL, "Anti-CD20 monoclonal antibody treatment of human herpesvirus 8-associated, body cavity-based lymphoma with an unusual phenotype in a human immunodeficiency virus-negative patient", Clin Diagn Lab Immunol, 8, pp.993~996 (2001)
  15. Venizelos I, "An unusual case of posttransplant peritoneal primary effusion lymphoma with T-cell phenotype in a HIV-negative female, not associated with HHV-8", Pathol Oncol Res, 11, pp.178~181 (2005)

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