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Journal of the Korean Academy of Family Medicine 2006;27(10):830-834.
Published online October 10, 2006.
A Case of High Grade B-Cell Type Mucosa-Associated Lymphoid Tissue (MALT) Lymphoma Found in Patient with Weight Loss.
Tae Seong Lee, Myung Seop Byun, Hyung Sam Kim, Jae Hong Choi, Hwa Sook Jeong, Tae Keun Kang, Joong Kyeum Park
1Department of Family Medicine, Hana General Hospital, Seoul, Korea. kabeebee@hanmail.net
2Department of Internal Medicine, Hana General Hospital, Seoul, Korea.
3Department of Pathology, Hana General Hospital, Seoul, Korea.
4Department of Neurosurgery, Hana General Hospital, Seoul, Korea.
고도 B 세포형 점막관련 림프조직 림프종에 대한 약물치료 증례
이태성,변명섭,김형삼,최재홍,정화숙,강태근,박중겸
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Abstract
The 68-year-old man who have no particular symptom except 10 kg weight loss was received the gastroscopy as a part of diagnostic tests. On his gastroscopic examination, it was ascertained as high grade B-cell type mucosa- associated lymphoid tissue (MALT) lymphoma from the biopsy of the erosive lesion on the angle of stomach. This lesion, after pharmacotherapy for Helicobacter pylori, was visible the normal mucosal pattern at the gastroscopic follow-up. Hereupon the writer tried to review the clinical aspect, the diagnosis, the treatment, and the prognosis, along with the literature investigation regarding MA LT lymphoma.
Key Words: gastroscopy, mucosa-associated lymphoid tissue (MALT) lymphoma, Helicobacter pylori, pharmacotherapy
초록
최근 10 kg의 체중감소 외에 특별한 소화기 증세가 없이 지내던 노인이 위 내시경 검사를 시행하였다. 미란성 병변의 조직 검사에서 고도 B 세포형(high grade B cell type) 점막관련 림프조직(mucosa-associated lymphoid tissue, MALT) 림프종으로 판명되어 Helicobacter pylori 약물 요법을 시행한 후 추적 내시경 검사에서 정상 소견을 보였다. 이에 저자는 MALT 림프종에 대한 문헌 고찰과 함께 임상 양상, 진단, 치료 및 예후를 살펴보았다.
중심 단어: 내시경 검사, 점막관련 림프조직 림프종, Helicobacter pylori, 약물 요법
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