성인에서 발생한 장중첩증을 동반한 회맹부 Burkitt 림프종 1예
A Case of Ileocecal Burkitt’s Lymphoma with Intussusception in an Adult
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초록
Burkitt 림프종은 B-림프구에서 기원하는 미분화된 악성 림프종으로 열대 아프리카의 어린이 턱에 발생한 종양을 육종(round cell sarcoma)이라고 명명하면서 처음 보고되었다. Burkitt 림프종은 주로 소아에서 발생하고 성인의 소화기계에서 발생한 경우는 매우 드물게 보고되고 있다. 저자들은 최근 하복부 통증 및 종괴를 주소로 내원한 69세 남자에서 대장 내시경검사 및 복부 전산단층촬영에서 장중첩증을 동반한 회맹부의 종괴가 관찰되어 생검 및 수술 후 조직검사에서 특징적인 ‘starry sky’ 양상을 보인 Burkitt 림프종 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Burkitt's lymphoma is a distinct pathologic entity characterized by a diffuse proliferation of small, noncleaved cells of B-lymphocytes origin. It was first reported as "jaw sarcoma" in East African children and described as endemic in tropical Africa. Burkitt's lymphoma usually occurs in youth and children, but it is very rare in an adult gastrointestinal tract of an adult. We recently experienced an unusual case of Burkitt's lymphoma in a 69-year-old male with lower abdominal pain and a mass. A colonoscopy and abdominal CT scan detected an ileocecal fungating mass with intussusception, and the histologic examination of the resected and biopsy specimens showed infiltration of medium-sized lymphoblasts with characteristic "starry sky" machrophages. So we report it with a brief review of literatures.
참고문헌 (17)
- "A sarcoma involving the jaws in African children", 46, pp.218~223 (1958)
- "Burkitt's lymphoma in adults with and without human immunodeficiency virus infection:a single-institution clinicopathologic study of 75 patients", 82, pp.766~774 (1998)
- "Non-endemic Burkitt's lymphoma.A B-cell tumor related to germinal centers", 295, pp.685~691 (1976)
- "The American Burkitt's Lymphoma Registry:eight years' experience", 49, pp.1016~1022 (1982)
- "The investigation of Epstein-Barr viral sequences in 41 cases of Burkitt's lymphoma from Egypt:epidemiologic correlations", 76, pp.1245~1252 (1995)
- "Expression of Epstein- Barr virus gene products in Burkitt's lymphoma in Northeast Brazil", 87, pp.5279~5286 (1996)
- "In situ demonstration of Epstein-Barr virus small RNAs correlation with tumor morphology and primary site", pp.619~624
- "Patterns of chro-mosomal breakpoint locations in Burkitt's lymphoma:relevance to geography and Epstein-Barr virus association", 77, pp.1516~1526 (1991)
- "성인에서 발생한 소장의 Burkitt 림프종 1예", 22, pp.435~439 (2001)
- "성인에서 발생한 원발성 위 Burkitt 림프종 1예", 27, pp.299~233 (2003)
- "REAL classification of malignant lymphomas in the Republic of Korea incidence of recently recognized entities and changes in clinicopathologic features Hematolymphoreticular Study Group of the Korean Society of Pathologists", 83, pp.806~812 (1998)
- "Clinicopathologic features of ileocolonic malignant lymphoma:analysis according to colonoscopic classification", 57, pp.343~347 (2003)
- "Lymphoid neoplasia associated with the acquired immunodeficiendy syndrome The New York University Medical Center experience with 105 patients", pp.1981 744~1986 753
- "Molecular biology of Burkitt's lymphoma", 18, pp.3707~3721 (2000)
- "Surgical resection and limited chemotherapy for abdominal undifferentiated lymphomas", 68, pp.599~605 (1984)
- "An effective therapy for both undifferentiated(including Burkitt's)lymphomas and lymphoblastic lymphomas in children and young adults", 63, pp.1102~1111 (1984)
- "Successful treatment of relapsed Burkitt's lymphoma using unrelated cord blood transplantation as consolidation therapy", 25, pp.1311~1313 (2000), Bone Marrow Transplant