Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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A Case of B-Lymphoblastic Leukemia/Lymphoma Detected as a Laterally Spreading Tumor

다발성 측방발육형 종양 양상으로 진단된 B-림프종 1예

  • Park, Sang-Wook (Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Park, Chan-Woo (Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Kim, Gun-Woo (Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Lee, Jong-Hoon (Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Choi, Seung-Ho (Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Kim, Du-Jin (Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Moon, Hyung-Chul (Department of Internal Medicine, Kwangju Christian Hospital) ;
  • Hong, Kun-Young (Department of Internal Medicine, Kwangju Christian Hospital)
  • Published : 2011.07.30
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Abstract

Acute lymphoblastic leukemia is a cancer of blood cells. It is known as lymphoblastic lymphoma when it involves lymph nodes rather than the blood and bone marrow. The gastrointestinal tract is a predominant site for extra-nodal lymphomas. But, B-lymphoblastic leukemia/lymphoma more frequently presents in the leukemic form than in the lymphomatous form. We herein report a case of B-lymphoblastic leukemia/lymphoma detected as a laterally spreading tumor in the colon. A 54-year-old man was referred to our hospital for removal of multiple colonic polyps. A colonoscopy revealed multiple colonic polyps and several colonic laterally spreading tumors. An esophagogastroduodenoscopy revealed several raised erosive lesions on the fundus and several variable sized sessile polypoid lesions on the duodenum. We diagnosed B-lymphoblastic leukemia/lymphoma following biopsies of the lesions.

급성 림프모구성 백혈병은 혈구에서 나타나는 암으로 이 질병이 피나 골수보다 림프절을 더 많이 침범할 경우 림프모구성림프종이라고도 불린다. 위장관은 림프절 외 림프종이 잘 발생하는 곳이다. B 림프모구성 백혈병/림프종은 림프종 형태보다는 백혈병 형태로 자주 나타난다. 우리는 여기서 대장에서 측방발육형 종양의 형태로 나타난 B 림프모구성 백혈병/림프종을 경험하였기에 보고하는 바이다. 54세의 남자가 대장에서의 다발성 용종 제거를 위하여 전원되었다. 대장내시경에서는 다발성의 용종과 측방발육형 종양이 관찰되었다. 상부 위장관 내시경에서는 수개의 융기성 미란이 위저부에서 관찰되었고 수개의 무경성의 용종이 십이지장에서 관찰되었다. 조직검사를 통해 B 림프모구성 백혈병/림프종을 진단하였다.

Keywords

References

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