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Primary Lymphoma of Pancreatic Mucosa-Associated Lymphoid Tissue (MALT)
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ÀÌÁö¿ì ( Lee Ji-Woo )
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Abstract
¿ø¹ß¼º ÃéÀå ¸²ÇÁÁ¾Àº ÃéÀå Á¾¾ç Áß¿¡¼ ¸Å¿ì µå¹® ÁúȯÀÌ´Ù. ¿ø¹ß¼º ÃéÀå ¸²ÇÁÁ¾ÀÇ Ä¡·á´Â ´ëºÎºÐ ¿Ü°úÀû ¼ö¼úº¸´Ù´Â Ç×¾Ï Ä¡·á ¶Ç´Â ¹æ»ç¼± Ä¡·á¸¦ ¸ÕÀú ½ÃÇàÇϹǷΠÃéÀå¿¡ ¹ß»ýÇÏ´Â ´Ù¸¥ Á¾¾ç°úÀÇ °¨º°Áø´ÜÀÌ Áß¿äÇÏ´Ù. ¶ÇÇÑ º» Áõ·Ê¿Í °°ÀÌ ¸²ÇÁÁ¾ Áß¿¡¼µµ Á¶Á÷ ¾ÆÇü¿¡ µû¶ó Ä¡·á ¿øÄ¢ÀÌ Â÷ÀÌ°¡ ÀÖÀ» ¼ö ÀÖÀ¸¹Ç·Î Á¤È®ÇÑ Á¶Á÷ Áø´ÜÀÌ Ä¡·á ¹æħÀ» °áÁ¤ÇÏ´Â µ¥ Áß¿äÇÏ´Ù. ÀúÀÚµéÀº ÃéÀå µÎºÎ Á¾¾ç¿¡¼ ÃÊÀ½ÆÄ ³»½Ã°æ À¯µµÇÏ¿¡ Á߽ɺΠ¹Ù´Ã Á¶Á÷ °Ë»ç¸¦ ½ÃÇàÇؼ ±¹³»¿¡¼ óÀ½À¸·Î ¿ø¹ß¼º ÃéÀå MALT ¸²ÇÁÁ¾À» Áø´ÜÇÏ¿´±â¿¡ À̸¦ º¸°íÇÑ´Ù.
Primary lymphoma of pancreatic mucosa-associated lymphoid tissue (MALT) is extremely rare. Initial suspicion of primary pancreatic lymphoma is hampered by its low incidence. However, it should always be included in a differential diagnosis of pancreatic mass with unusual features, because an accurate diagnosis can avoid unnecessary surgical intervention. A 70-year-old woman presented with melena associated with a mass on the pancreatic head. Endoscopic ultrasonography-guided core-needle biopsy of the pancreatic mass revealed MALT lymphoma. The patient is currently undergoing radiation therapy. We present a case of primary lymphoma of the pancreatic MALT with a review of the literature.
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Primary pancreatic lymphoma; Mucosa-associated lymphoid tissue (MALT) lymphoma
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