Korean Journal of Gastrointestinal Endoscopy 2011;43(1): 60-63.
다발성 측방발육형 종양 양상으로 진단된 B-림프종 1예
박상욱ㆍ박찬우ㆍ김건우ㆍ이종훈ㆍ최승호ㆍ김두진ㆍ문형철ㆍ홍건영
광주기독병원 내과
A Case of B-Lymphoblastic Leukemia/Lymphoma Detected as a Laterally Spreading Tumor
Sang Wook Park, M.D., Chan Woo Park, M.D., Gun Woo Kim, M.D., Jong Hoon Lee, M.D., Seung Ho Choi, M.D., Du Jin Kim, M.D., Hyung Chul Moon, M.D. and Kun Young Hong, M.D.
Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea
Abstract
Acute lymphoblastic leukemia is a cancer of blood cells. It is known as lymphoblastic lymphoma when it involves lymph nodes rather than the blood and bone marrow. The gastrointestinal tract is a predominant site for extra-nodal lymphomas. But, B-lymphoblastic leukemia/lymphoma more frequently presents in the leukemic form than in the lymphomatous form. We herein report a case of B-lymphoblastic leukemia/lymphoma detected as a laterally spreading tumor in the colon. A 54-year-old man was referred to our hospital for removal of multiple colonic polyps. A colonoscopy revealed multiple colonic polyps and several colonic laterally spreading tumors. An esophagogastroduodenoscopy revealed several raised erosive lesions on the fundus and several variable sized sessile polypoid lesions on the duodenum. We diagnosed B-lymphoblastic leukemia/lymphoma following biopsies of the lesions. (Korean J Gastrointest Endosc 2011;43:60-63)
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