Korean Journal of Gastrointestinal Endoscopy 2009;39(4): 244-247.
림프구 증식증과 유사한 형태로 말단 회장부와 대장을 침범한 만성 림프구성 백혈병 1예
이민지ㆍ고 훈ㆍ이윤정ㆍ정성희ㆍ이향이ㆍ양현웅ㆍ김안나ㆍ차상우
을지대학교 의과대학 내과학교실
A Case of Chronic Lymphocytic Leukemia Involvement of the Terminal Ileum and Colon That Was Seen on Colonscopy as a Form of Lymphoid Hyperplasia
Min JI Lee, M.D., Hoon Go, M.D., Yun Jung Lee, M.D., Sung Hee Jung, M.D., Hyang Le Lee, M.D., Hyeon Woong Yang, M.D., An Na Kim, M.D. and Sang Woo Cha, M.D.
Department of Internal Medicine, Eulji University Collge of Medicine, Daejeon, Korea
Abstract
Follicular lymphoid hyperplasia is commonly seen when performing pediatric endoscopy. But in adults, these findings can imply an underlying gastrointestinal or systemic illness, besides the normal variant. On the other hand, colonic involvement of chronic lymphocytic leukemia (CLL) is seen in about 5% to 20% of autopsy cases. However, there have been few reports on the colonoscopic appearance that corresponds to colonic involvement by CLL, and the reported colonoscopic appearances have included polyps, ulcers, granularity, submucosal nodules, erythema, the red ring sign etc. We report here on a case of CLL neoplastic lymphocyte involvement of the terminal ileum and colon as a form of lymphoid hyperplasia, and this was seen when performing colonoscopy. (Korean J Gastrointest Endosc 2009;39:244-247)
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