Korean Journal of Gastrointestinal Endoscopy 2003;27(1): 51-55.
바터 팽대부에 발생한 점막연관림프조직 림프종 1예
심미령ㆍ조은영ㆍ염주진ㆍ김용성ㆍ김희식ㆍ윤기중*ㆍ유교상ㆍ김태현ㆍ최석채ㆍ나용호
원광대학교 의과대학 내과학교실, *해부병리학교실
A Case of MALT-lymphoma of the Ampulla of Vater
Mi Ryeong Sim, M.D., Eun Young Jo, M.D., Joo Jin Yem, M.D., Yong Sung Kim, M.D.,
Departments of Internal Medicine and *Pathology, Wonkwang University College of Medicine, Iksan, Korea
Abstract
Primary gastrointestinal lymphomas originating from the mucosa-associated lymphoid tissue (MALT) have been reported with increasing frequency. The stomach is the most frequent site of MALT lymphoma, and a relationship with Helicobacter pylori infection has been studied. However, primary MALT lymphoma arising from the ampulla of Vater is extremely rare, and its relationship with Helicobacter pylori infection is still obscure. We report here a case of a 71-year-old man with marginal zone B cell lymphoma of MALT with large B cell lymphoma of the ampulla of Vater that was not associated with Helicobacter pylori. A pancreaticoduodenectomy was performed, and the pathologic examination of the resected specimen confirmed the diagnosis. The patient tolerated just one course of systemic chemotherapy, but has been doing well for 18 months after surgery. (Korean J Gastrointest Endosc 2003;27:5155)
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