BALT 림프종과 병발한 식도에 발생한 MALT 림프종 1예 |
문창모·김희만·최종원·서정훈*·원선영*·이천균*·박인서*·김진석†·기정혜‡·조용석* |
연세대학교 의과대학 내과학교실, 국민건강보험공단 일산병원 *소화기내과, †혈액종양내과, ‡해부병리과 |
A Case of Mucosa-Associated Lymphoid Tissue Lymphoma in the Esophagus Accompanied by Bronchus-Associated Lymphoid Tissue Lymphoma |
Chang Mo Moon, M.D., Hee Man Kim, M.D., Jong Won Choi, M.D., Jung Hun Seo, M.D.*, Sun Young Won, M.D.*, Chun Gyun Lee, M.D.*, In Suh Park, M.D.*, Jin Suk Kim, M.D.†, Jung Hye Ki, M.D.‡ and Yong Suk Cho, M.D.* |
Department of Internal Medicine, Yonsei University College of Medicine, Seoul and Departments of *Gastroenterology, †Hemato-oncology and ‡Clinical Pathology, National Health Insurance Corporation Ilsan Hospital, Ilsan, Korea |
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Abstract |
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Mucosa-associated lymphoid tissue (MALT) is specially adapted component of the immune system protecting the permeable surface of the gastrointestinal mucosa, bronchial mucosa and other mucosa. Chronic infection of the stomach by Helicobacter pylori, Hashimoto's thyroiditis, Sjögren syndrome in the salivary gland and other chronic inflammatory and autoimmune disease lead to the accumulation of MALT in the mucosa and MALT lymphoma arises from this acquired MALT. MALT lymphoma is histologically characterized by proliferation of centrocyte-like cells that invade the epithelium and lymphoepithelial lesion form. Gastrointestinal MALT lymphoma is clinically important because it is a localized, slow progressive disease and has a long survival and favorable clinical course compared with other lymphoma. Esophageal MALT lymphoma is extremely rare, so we report, radiologic, endoscopic and pathological findings and clinical course in a case of esophageal MALT lymphoma with brouchas-associated lymphoid tissue (BALT) lymphoma with a review of literature. |
Key Words:
Esophagus, Lymphoma, Mucosa-associated lymphoid tissue |
주요어:
식도, 림프종, Mucosa-associated lymphoid tissue |
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