Korean J Gastrointest Endosc > Volume 32(4); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;32(4): 287-292.
원발성 소장 림프종 치료 중 발생한 천공으로 수술 후 진단된 장병증 연관 T-세포 림프종 1예
가톨릭대학교 의과대학 내과학교실, *해부병리학교실
A Case of Enteropathy-Associated T-cell Lymphoma (EATL) Presenting Perforation after Chemotherapy for Primary Intestinal Lymphoma
Hyung Jun Kim, M.D., Sok Won Han, M.D., Soon Min Park, M.D., Chang-Whan Kim, M.D., Sung Eun Yang, M.D., Hyeong Geun Kim, M.D., Keun-Jong Cho, M.D., Tae Ho Kim, M.D., Sang Bum Kang, M.D., Young Seok Cho, M.D., Sung Soo Kim, M.D., Dong Soo Lee, M.D., Hiun S
Departments of Internal Medicine and *Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Intestinal T-cell lymphomas are fairly uncommon, and can sometimes be associated with enteropathy. Enteropathy- associated T-cell lymphoma (EATL) is commonly accompanied by a nonspecific mucosal ulceration, similar to that observed as a complication of celiac disease. The clinical course of EATL is quite unfavorable, and tends to have a generally poor prognosis. When a tumor invades the bowel wall and is treated with corticosteroids and chemotherapy, cell lysis with perforation often occurs, particularly in case of lymphoma. Recent data indicate that extensive resection may improve local control, and eliminate the risk of early mortality due to visceral perforation or hemorrhaging in unresected lesions during chemotherapy. Here, we report the case of a 51-year-old male who was diagnosed with primary gastrointestinal lymphoma after colonoscopy, and presented with EATL after emergent exploratory laparatomy. We also include a review of the literature regarding this uncommon entity. (Korean J Gastrointest Endosc 2006;32:287⁣292)
Key Words: Enteropathy-associated T-cell lymphoma (EATL), Hematochezia, Perforation
주요어: 장병증 연관 T-세포 림프종, 혈변, 장천공
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