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Original Article
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Korean J Med. 2008;74(1):112-116.
- 증례 : 대장에 발생한 장병증 형태 장관 T 세포 악성 림프종 1예
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박상미, 홍숙희, 변재호, 우인숙, 김재광, 박경신, 이인규
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- Enteropathy-type T-cell lymphoma occurring in the colon
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Sang Mi Park, Sook Hyee Hong, Jae Ho Byun, In Sook Woo, Jae Kwang Kim, Gyeong Shin Park, In Kyu Lee
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경희대학교 의과대학 순환기내과학교실
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- Abstract
- Lymphomas occurring in the intestine are relatively rare, and most of them are of B-cell origin. The incidence of enteropathy-type T-cell lymphoma occurring in the colon is much lower. T-cell lymphoma is a tumor of intraepithelial T-lymphocytes, most commonly occurring in the jejunum or ileum and closely associated with celiac disease. The prognosis is poor, and optimal treatment has not been determined yet. We report the case of an enteropathy-type T-cell lymphoma occurring in the ascending colon in a patient with no history of celiac disease. A 54-year-old female was admitted with complaints of hematochezia, tenesmus, and lower abdominal discomfort for 3 weeks. Colonoscopy demonstrated two large, discrete ulcers in the ascending colon, which were diagnosed as enteropathy-type T-cell lymphoma. She underwent right hemicolectomy and received two cycles of CHOP chemotherapy.
Keywords :Enteropathy-type T-cell lymphoma, Colon
