Korean J Gastrointest Endosc > Volume 36(2); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;36(2): 102-106.
직장의 종괴로 발견된 MALT 림프종 1예
김종훈ㆍ문영수ㆍ이석현ㆍ박준섭*ㆍ배원기ㆍ김남훈ㆍ장선희ㆍ김경아ㆍ이혜란ㆍ이준성
인제대학교 의과대학 일산백병원 내과학교실, *인천중앙병원, 인제대학교 의과대학 일산백병원 병리학교실
A Case of Primary B Cell Mucosa-associated Lymphoid Tissue Lymphoma Presenting as a Solitary Rectal Mass
Jong Hoon Kim, M.D., Young-Soo Moon, M.D., Seuk Hyun Lee, M.D., Jun Sup Park, M.D.*, Won Ki Bae, M.D., Nam-Hoon Kim, M.D., Sunhee Chang, M.D., Kyung-Ah Kim, M.D., Hye Ran Lee, M.D. and June Sung Lee, M.D.
Departments of Internal Medicine and Pathology, Inje University Ilsan Paik Hospital, Goyang, *Department of Internal Medicine, Incheon Choongang General Hospital, Incheon, Korea
Abstract
Primary extranodal B cell lymphoma of mucosa- associated lymphoid tissue (MALT) can develop in diverse anatomic locations such as the stomach, salivary gland, thyroid, lung, and breast. Its distribution in the GI tract is as follows: 50∼60% in the stomach, 20∼30% in the small intestine and ileocecal area and 10% in the colorectal area. Although autoimmune and infectious diseases are known as the main etiologies, H. pylori infection has been clearly shown to play a causative role in lymphomagenesis, especially in the stomach. H. pylori eradication therapy only can induce disease remission nearly in 80% of the cases of gastric MALT lymphoma. However, there is lack of evidence for the extragastric area. In this case, a 71-year-old woman with low abdominal pain was diagnosed as having a rectal MALT lymphoma that was noted as a solitary rectal mass in a colonoscopic examination. Remission induction was commenced by H. pylori eradication and radiation therapy. (Korean J Gastrointest Endosc 2008;36:102-106)
Key Words: Mucosa associated lymphoid tissue lymphoma, Rectum, Helicobacter pylori eradication, Radiotherapy
주요어: MALT 림프종, 직장, 제균치료, 방사선치료
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