종괴로 발현한 원발성 폐 혈관중심성 림프종 1예

A Case of Primary Pulmonary Angiocentric Lymphoma Manifested as a Mass

  • 권형주 (왈레스기념 침례병원 내과) ;
  • 박영우 (왈레스기념 침례병원 내과) ;
  • 이무열 (왈레스기념 침례병원 내과) ;
  • 이철호 (왈레스기념 침례병원 내과) ;
  • 김진관 (왈레스기념 침례병원 내과) ;
  • 김미영 (왈레스기념 침례병원 내과) ;
  • 황인석 (왈레스기념 침례병원 내과) ;
  • 유흥선 (왈레스기념 침례병원 내과) ;
  • 황순철 (왈레스기념 침례병원 내과)
  • Kwon, Hyung-Joo (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Park, Young-Woo (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Lee, Moo-Yeol (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Lee, Cheol-Ho (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Kim, Jin-Kwan (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Kim, Mi-Young (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Hwang, In-Seog (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Yu, Heung-Sun (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Hwang, Soon-Chul (Department of Internal Medicine, Wallace Memorial Baptist Hospital)
  • 발행 : 1999.03.30

초록

저자등은 건성기침을 주소로 내원하여 단순 흉부 방사선 촬영검사 소견상 우측 폐야에 거대종괴가 관찰되어 우하엽 절제술 및 면역조직화학 검사상 T 세포 기원의 혈관중심성 림프종으로 진단받은 1예을 경험하였기에 보고하는 바이다.

The primary pulmonary lymphomas are uncommon, accounting for 0.5% of primary lung tumor and 0.4% of all malignant lymphomas. The majority of primary pulmonary lymphomas are of B-cell originating from bronchus associated lymphoid tissue(BALT). Angiocentric lymphoma is a rare type of primary pulmonary lymphomas characterized by polymorphic lymphoid infiltrates, which make it even more difficult to differentiate from benign infiltration. The radiographic findings are variable, depending on the stage of evolution of the disease. The prognosis of angiocentric lymphoma is poor, nearly two-thirds of the patients with grade 2 or 3 angiocentric lymphomas were died within a year of diagnosis. We report a case of primary pulmonary angiocentric lymphoma manifested as a mass of right lower lobe.

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