Korean Journal of Gastrointestinal Endoscopy 2011;43(1): 17-20.
십이지장, 공장을 침범한 원발성 말초성 T-세포 림프종
악설정ㆍ황치성ㆍ최재원ㆍ박승근ㆍ박희욱ㆍ김혜숙*
메리놀병원 내과, *병리과
A Case of Peripheral T-cell Lymphoma of the Duodenum and Jejunum
Hsueh Chen Yueh, M.D., Chi Sung Hwang, M.D., Jae Won Choi, M.D., Seung Keun Park, M.D., Hee Ug Park, M.D. and Hye Sook Kim, M.D.*
Departments of Internal Medicine and *Pathology, Maryknoll Medical Center, Busan, Korea
Abstract
Primary T-cell lymphoma of the duodenum is uncommon, and peripheral T-cell lymphoma of the duodenum is extremely rare. Approximately 90% of primary gastrointestinal lymphomas originate from B-cells and fewer than 10% originate from T-cells. A peripheral T-cell lymphoma involved in the small intestine is usually detected by complications such as gastrointestinal bleeding, perforation, or obstruction. A 57-year-old man complained of postprandial discomfort and weight loss of 5 kg for 1 month. An esophagogastroduodenoscopy showed a deep ulcer with blood clots and whitish exudates. We conducted a Whipple's operation because of the high risk of ulcer perforation and difficulty in distinguishing the ulcer from malignancy. The resected tissue was confirmed as a peripheral T-cell lymphoma. We reported a case of peripheral T-cell lymphoma of the duodenum and jejunum that extended to the pancreatic head where a diffuse lesion was found without any complications or specific symptoms. (Korean J Gastrointest Endosc 2011;43:17-20)
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