Korean J Gastrointest Endosc > Volume 34(1); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;34(1): 28-32.
다발성 궤양의 형태로 발현한 식도의 악성 T-세포 림프종 1예
이상봉* · 박성재 · 지삼룡 · 박은택 · 이연재 · 이상혁 · 설상영 · 강석우 · 박지훈 · 배경임
인제대학교 의과대학 부산백병원 내과, *부산위생병원 내과
A Case of Esophageal T-cell Lymphoma Presenting as Multiple Discrete Ulcers on a Background of Normal Mucosa
Sang Bong Lee, M.D.*, Sung Jae Park, M.D., Sam Ryong Jee, M.D., Eun Taik Park, M.D.,Youn Jae Lee, M.D., Sang Hyuk Lee, M.D., Sang Young Seol, M.D., Seok Woo Kang, M.D.,Ji Hun Park, M.D. and Kyung Im Pae, M.D.
Department of Internal Medicine, Inje University College of Medicine, Paik Hospital, *Department of Internal Medicine, Adventist Hospital, Busan, Korea
Abstract
Gastrointestinal involvement by a lymphoma occurs in 20% of patients with a lymphoma and frequently involves the stomach, small bowel or colon, but rarely involves the esophagus. Esophageal lymphomas are usually secondary to an adjacent lymph node invasion or the contiguous spread from a gastric lymphoma. Primary involvement of the esophagus by a lymphoma is quite rare. Primary versus secondary esophageal involvement by a lymphoma is difficult to determine. The radiological features of esophageal lymphomas may manifest nodules of various sizes, enlarged folds, polypoid mass, ulceration, stenosis, varicoid appearance, and aneurysmal dilatation. The presentation of multiple discrete ulcers in the esophagus on the background of the normal mucosa is most unusual. We describe a case of an esophageal T-cell lymphoma with multiple discrete ulcers on the background of the normal mucosa. The patient was treated with chemotherapy. After chemotherapy, the endoscopic findings of the esophagus showed a normal esophageal mucosa. We report this case with a review of the relevant literature.
Key Words: Malignant lymphoma, Esophagus, Ulcer
주요어: 악성 림프종, 식도, 궤양
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