Helicobacter heilmannii-like Organism으로 유발된 저등급 위 MALT 림프종 1예 |
오동훈ㆍ김남훈ㆍ조유정ㆍ송태준ㆍ배원기ㆍ김경아ㆍ이준성ㆍ주미* |
인제대학교 의과대학 일산백병원 내과학교실, *병리학교실 |
A Case of Gastric Low-grade MALT Lymphoma Induced by a Helicobacter heilmannii-like Organism |
Dong-Hoon Oh, M.D., Nam-Hoon Kim, M.D., Yu-Jung Cho, M.D., Tae Jun Song, M.D., Won Ki Bae, M.D., Kyung-Ah Kim, M.D., June Sung Lee, M.D. and Mee Joo, M.D.* |
Departments of Internal Medicine, *Pathology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea |
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Abstract |
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Helicobacter heilmannii is a Gram negative, long spiral-shaped organism associated with zoonotic infections acquired from primates including cats and dogs. Infection with H. heilmannii leads to gastritis, peptic ulcer disease, gastric adenocarcinoma, and gastric mucosa-associated lymphoid tissue (MALT) lymphoma. We experienced a 54-year-old man with dyspepsia who was diagnosed with primary gastric MALT lymphoma (stage IE1) associated with a H. heilmannii-like organism. Upper gastrointestinal endoscopy revealed only microvascular dilatation and mucosal granularity without elevated or ulcerative lesions at the stomach angle. He was probably infected by a pet dog. The man was treated with eradication therapy for 2 weeks including lansoprazole, amoxicillin, and clarithromycin. Four weeks after eradication of the H. heilmannii-like organism, follow-up endoscopy and pathological biopsy findings showed complete remission of the gastric MALT lymphoma. (Korean J Gastrointest Endosc 2011;43:25-29) |
Key Words:
Helicobacter heilmannii, Helicobacter pylori, Gastric MALT lymphoma |
주요어:
헬리코박터 헤일마니, 헬리코박터 파일로리, 위 말트림프종 |
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