Korean J Gastrointest Endosc > Volume 27(4); 2003 > Article
Korean Journal of Gastrointestinal Endoscopy 2003;27(4): 229-233.
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
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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