성인에서 발생한 원발성 위 Burkitt 림프종 1예 |
최성철·이준행·이 혁·김정환·김민형·이풍렬·김재준·이종철·김기현·고영혜*·성창옥* |
성균관대학교 의과대학 삼성서울병원 내과, *병리과 |
A Case of Primary Gastric Burkitt's Lymphoma |
Sung Chul Choi, M.D., Jun Haeng Lee, M.D., Hyuk Lee, M.D., Jeong Hwan Kim, M.D., Min Hyung Kim, M.D., Poong-Lyul Rhee, M.D., Jae J. Kim, M.D., Jong Chul Rhee, M.D., Ki Hyun Kim, M.D., Yong-Heyh Ko, M.D.* and Chang Ok Sung, M.D.* |
Departments of Internal Medicine and *Patholgy, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea |
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Abstract |
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Primary gastric lymphomas can be defined as lymphomas which are confined to the stomach without systemic metastasis. Primary gastric Burkitt's lymphoma is a rare disease that belongs to the aggressive non-Hodgkin's lymphomas. Chemotherapy is the mainstay of treatment, even in the localized disease. We report a case of primary gastric Burkitt's lymphoma in a 24-year-old female presenting with an intermittent epigastric pain for 3 months. Upper gastroduodenal endoscopy detected an ulcer with thickened folds on the greater curvature side of the lower body, and histologic examination of the biopsy specimens revealed infiltration of medium-sized lymphoblasts with characteristic "starry sky" macrophages. Abdominal CT scan demonstrated marked gastric wall thickening and regional lymph node enlargement. |
Key Words:
Primary gastric Burkitts lymphoma, Chemo therapy |
주요어:
원발성 위 Burkitt 림프종, 항암요법 |
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