Korean Journal of Gastrointestinal Endoscopy 1998;18(6): 922-929.
증례 : 식도 위장관 ; 위와 회장말단부에 발생한 Hodgkin 씨병 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Hodgkin's Disease Involved in the Stomach and Terminal Ileum )
류인열, 윤성준, 이지현, 신원혁, 유종훈, 정민희, 홍수희, 이정석, 최의혁, 이동윤, 이준상 (In Yeal Ryu, Seong Joon Yoon, Ji Hyun Lee, Won Hyuk Sin, Jong Hoon Yoo, Min Hee Jung, Su Hee Hong, Jeong Seok Lee, Eui Hyuk Choi, Dong Yun Lee and Joon Sang Lee)
Abstract
Cases with extranodal Hodgkin's disease located in sites outside those defined as lymphatic structure are quite rare. The exact incidence of this localized form of Hodgkin's disease is unknown, but it is estimated to be only 0.25% for overall incidence of Hodgkin's disease. Localized primary extranodal Hodgkin's disease seems to have an excellent prognosis in some cases including skin, tongue, lung, stomach, small bowel, and thyroid. We report a case of primary gastrointestinal Hodgkin's disease involved in the stomach and terminal ileum in 48-year-old man with 7 kg of weight loss for 3 months, fever with chills for 1 week, and intermittent epigastric pain for 1 year. The histologic type of this case was lymphocyte predominance, which was diagnosed by biopsy of the stomach and terminal ileum with immnophenotyping study. And the stage of this case was IIE. We tried combination chemotherapy with adriamycin, bleomycin, vinblastin, and dacabazine with excellent response. For its rarity, we report this case with review of literatures. (Korean J Gastrointest Endosc 18: 922-927, 1998)
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