위장관의 다발성 궤양성 악성 림프종의 천공
Multiple Ulcerating Malignant Lymphoma of the Gastrointestinal Tract with Perforation
류병윤, 김태화, 전장용, 김태희, 조지웅, 이해완, 김홍기, 최경찬,
소속 상세정보
류병윤 ( Ryu Byoung-Yoon )
한림대학교 의과대학 외과학교실
김태화 ( Kim Tae-Hwa )
한림대학교 의과대학 외과학교실
전장용 ( Jeon Jang-Yong )
한림대학교 의과대학 외과학교실
김태희 ( Kim Tae-Hee )
한림대학교 의과대학 외과학교실
조지웅 ( Cho Ji-Woong )
한림대학교 의과대학 외과학교실
이해완 ( Lee Hae-Wan )
한림대학교 의과대학 외과학교실
김홍기 ( Kim Hong-Ki )
한림대학교 의과대학 외과학교실
최경찬 ( Choi Kyung-Chan )
한림대학교 의과대학 병리학교실
KMID : 0371320020620050446
Abstract
Malignant lymphoma of the gastrointestinal tract is a rare lesion, which comprises 1~4% of the malignant neoplasms of the gastrointestinal tract. Abdominal pain and weight loss are the most common symptoms and an abdominal mass, the most common
physical
finding. This tumor is often discovered at a late stage; a diagnosis should be done on all patients undergoing an emergency operation for an obstruction, hemorrhage, or perforation.
We report a case of a multiple ulcerating malignant lymphoma
of the
gastrointestinal tract with perforation in a 60 year-old male. The patient visited our hospital because of a sudden onset of acute abdominal pain. The operative finding was multiple masses on the small bowel, sigmoid colon, and stomach, plus
multiple
perforations of the small bowel. We performed a multiple small bowel segmental resection and an anastomosis at the site of the perforated lesion. The pathologic evaluation diagnosed it as a malignant lymphoma and the patient was treated with
cyclophosphamide, adreiamycin, and vincristine. We report this rare disease with a review of the literature.
키워드
악성 림프종; 위장관; Malignant lymphoma; Gastrointestinal tract;
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