Korean J Gastrointest Endosc > Volume 38(3); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;38(3): 176-178.
급성 췌장염 및 폐쇄성 황달로 발현된 원발성 췌장 림프종 1예
황준일ㆍ박창환ㆍ조용찬ㆍ김성균ㆍ김현수ㆍ최성규ㆍ류종선ㆍ이완식
전남대학교 의과대학 내과학교실, 소화기내과학교실
A Case of Primary Pancreatic Lymphoma That Manifested with Acute Pancreatitis and Obstructive Jaundice
Jun Eul Hwang, M.D., Chang Hwan Park, M.D., Yong Chan Cho, M.D., Sung Kyun Kim, M.D., Hyeun Soo Kim, M.D., Sung Kyu Choi, M.D., Jong Sun Rew, M.D. and Wan Sik Lee, M.D.
Division of Gastroenterology, Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea
Abstract
Primary pancreatic lymphoma (PPL) is a rare form of extranodal lymphoma, and this accounts for less than 0.5% of all pancreatic tumors. Differentiating PPL from pancreatic adenocarcinoma is important because the prognosis and survival of PPL is much better than those of pancreatic adenocarcinoma. Although the treatment usually consists of a combination of chemotherapy and radiation therapy, PPL patient with biliary tract or gastrointestinal obstruction should undergo biliary or gastric bypass to relieve the symptoms. Herein, we describe a case of PPL with acute pancreatitis and obstructive jaundice, and the patient was successfully managed with endoscopic retrograde pancreatic and biliary drainage. (Korean J Gastrointest Endosc 2009;38:176-179)
Key Words: Primary pancreatic lymphoma, Obstructive jaundice, Acute pancreatitis
주요어: 원발성 췌장 림프종, 폐쇄성 황달, 급성 췌장염
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