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성대에서 발견된 재발성 T세포 림프종에 대한 증례 보고

Recurrent T-cell lymphoma occurred in the vocal fold: a case report

  • 강가람 (고려대학교 안암병원 이비인후과) ;
  • 최인학 (고려대학교 안암병원 이비인후과) ;
  • 이도영 (고려대학교 안암병원 이비인후과) ;
  • 백승국 (고려대학교 안암병원 이비인후과) ;
  • 정광윤 (고려대학교 안암병원 이비인후과)
  • Kang, Karam (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Choi, In Hak (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Lee, Doh Young (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Baek, Seung-Kuk (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Jung, Kwang Yoon (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine)
  • 투고 : 2017.09.27
  • 심사 : 2017.10.22
  • 발행 : 2017.11.30

초록

Background. Lymphoma of the vocal fold is extremely rare due to low lymphoid content in the larynx. To date, fewer than 100 cases of laryngeal lymphoma have been reported; however, none of these literatures are concerned about exclusive laryngeal involvement of recurred lymphoma which initially appeared in other body sites. Specific consensus about management for these patients yet to exist, due to its rare occurrence; however, the main modality of treatment is chemotherapy alone or in combination with radiation therapy. Case. Herein, we report a case of a 51-year-old female patient who had recurrent T-cell lymphoma developing in bilateral vocal folds. The patient was originally diagnosed of T-cell lymphoma in right colic flexure 10 years ago, and was cured by chemotherapy. Immunohistochemical stain revealed the histologic type of recurred tumor in the vocal folds that are identical to the previously cured lymphoma. Conclusion. To the best of our knowledge, this was the first case that recurrent lymphoma occurred solely in the vocal folds. Despite its rarity, lymphoma should be put in the index of suspicion among those patients with decreased vocal fold mucosal wave without definite vocal fold mass who had a history of cured lymphoma.

키워드

참고문헌

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