직장에 발생한 원발성 소포 림프종 1예 |
권보성·김창덕·박재연·주문경·장진수·김진남·김승영·금보라·서연석·김용식·진윤태·전훈재·엄순호·최정우*·류호상 |
고려대학교 의과대학 내과학교실, 소화기연구소, *병리학교실 |
A Case of Primary Follicular Lymphoma Arising in the Rectum |
Bo Sung Kwon, M.D., Chang Duck Kim, M.D., Jae Youn Park, M.D., Moon Kyung Joo, M.D., Jin Su Jang, M.D., Jin Nam Kim, M.D., Seung Young Kim, M.D., Bora Keum, M.D., Youn Suk Seo, M.D., Yong Sik Kim, M.D., Yoon Tae Jeen, M.D., Hoon Jai Chun, M.D., Soon Ho Um |
Department of Internal Medicine, Institute of Digestive Disease and Nutrition, *Department of Pathology, Korea University College of Medicine, Seoul, Korea |
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Abstract |
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Follicular lymphoma (FL) is one of the most common non-Hodgkin's lymphomas in the United States, but it is relatively rare in Asia. FL typically arises in lymph nodes together with spleen, liver, and bone marrow involvement. So, primary extra-nodal FL without peripheral nodal involvement is rare. Histologically, it shows nodular aggregates of lymphoma cells and positivity for CD 10, CD 20 and bcl-2. Not only the stage, but also the grade is associated with the survival rate. Grade 3 FL presents a worse prognosis than does grade 1 and 2 FL and this should be treated with an anthracycline based CHOP regimen. We report here on a case of primary follicular lymphoma arising in the rectum; this was observed in a 58-year-old woman who complained of anorexia, dyspepsia and diarrhea. (Korean J Gastrointest Endosc 2006; 33:285288) |
Key Words:
Follicular lymphoma, Non-Hodgkin's lymphoma, Gastrointestinal lymphoma, Rectum |
주요어:
소포 림프종, 비호지킨 림프종, 위장관 림프종, 직장 |
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