완전 관해된 상태에서 협착을 동반한 원발성 악성 식도 림프종의 절제
Treatment of Primary Esophageal Malignant Lymphoma in Complete Remission and Associated with Stricture
김종관, 김충배, 김성민,
소속 상세정보
김종관 ( Kim Jong-Kwan )
연세대학교 의과대학 외과학교실
김충배 ( Kim Choong-Bai )
연세대학교 의과대학 외과학교실
김성민 ( Kim Seong-Min )
연세대학교 의과대학 외과학교실
KMID : 0371320010600010107
Abstract
Gastrointestinal involvement has been reported to occur in about 10 to 20% of patients with malignant lymphoma. The most common gastrointestinal site for the lymphoma is the stomach, followed by the small intestine, the ileocecal region and the colon. Esophageal involvement by a malignant lymphoma is unusual, and that by a primary lymphoma is extremely rare. When a lymphoma is found in the esophagus, generally it is a case with contiguous involvement of the gastric fundus or the cervical node, with secondary to mediastinal lymph node compression, or with late manifestation of advanced disease. Such cases cannot be labeled as primary esophageal lymphoma. We describe a case of primary esophageal malignant lymphoma diagnosed by endoscopy and CT scan. It was treated with concurrent chemoradiation, resulting in complete remission; nowever an esophageal stricture developed, so esophageal bougienation was performed several times. An Operation was performed because the esophageal stricture was not improved by endoscopic dilatation.
키워드
원발성 악성 식도 림프종; 완전관해; 항암화학방사선 요법
Primary esophageal malignant lymphoma; Complete remission; Concurrent chemoradiation
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