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.
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.
