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Lymphoid follicular proctitis resembling rectal carcinoid tumor, confirmed by endoscopic resection

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In conclusion, this case concerns a very rare benign inflammatory disease of the rectum, LFP. It was presented as a nodular, SET-like lesion resembling a rectal carcinoid tumor without any symptoms, and was endoscopically removed for both diagnosis and treatment. Therefore, we show that endoscopic resection of the solitary LFP may be an effective and safe treatment as well as a diagnostic tool for confirmation. However, further studies are needed to establish the natural course of LFP as well as its clinical and endoscopic presentations.

Abstract

In conclusion, this case concerns a very rare benign inflammatory disease of the rectum, LFP. It was presented as a nodular, SET-like lesion resembling a rectal carcinoid tumor without any symptoms, and was endoscopically removed for both diagnosis and treatment. Therefore, we show that endoscopic resection of the solitary LFP may be an effective and safe treatment as well as a diagnostic tool for confirmation. However, further studies are needed to establish the natural course of LFP as well as its clinical and endoscopic presentations.

참고문헌 (5)

  1. Myung Hwan Kim, "A Case of Mucosa-Associated Lymphoid Tissue Lymphoma of the Sigmoid Colon Presenting as a Semipedunculated Polyp", Clinical Endoscopy, 47(2), pp.192~196 (2014), 대한소화기내시경학회
  2. Flejou JF, "Lymphoid follicular proctitis: a condition different from ulcerative proctitis?", Dig Dis Sci, 33, pp.314~320 (1988)
  3. Shami VM, "Lymphoid follicular proctitis mimicking rectal lymphoma: diagnosis by EMR", Gastrointest Endosc, 60, pp.648~652 (2004)
  4. Geraghty JM, "Diversion colitis: histological features in the colon and rectum after defunctioning colostomy", Gut, 32, pp.1020~1023 (1991)
  5. 서검석, "림프구양 여포 직장염 치료에서 메살라진 좌제의 유용성", 대한소화기학회지, 47(6), pp.420~424 (2006), 대한소화기학회

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