EndoTODAY | EndoATLAS | OPD

Parasite | Eso | Sto | Cancer | ESD

Boxim | DEX | Sono | Schedule

Home | Recent | Blog | Links

EndoTODAY ³»½Ã°æ ±³½Ç


[SmallTODAY 006 - ¼ÒÀå ¸²ÇÁÁ¾. Small bowel lymphoma. Small bowel diffuse large B cell lymphoma]

Previous | Next


[Intussusception due to small bowel lymphoma. ¼ÒÀå ¸²ÇÁÁ¾¿¡ ÀÇÇÑ ÀåÁßøÁõ]

¿©ÀÚ 60¼¼. º¹ÅëÀ¸·Î CT °Ë»çÇÏ¿© ÀÌ»ó¼Ò°ß ¹ß°ß. Æǵ¶: Hepatic flexure colon¿¡ 4.9cm Å©±âÀÇ malignat mass°¡ ÀÖÀ¸¸ç ÀÌ°ÍÀÌ leading point°¡ µÇ¾î À¯µµµÈ ileocecal intussuscptionÀÌ ÀÖÀ½. º´º¯Àº homogeneousÇÑ enhancement¸¦ º¸À̸ç ileocecal mesenteryÀÇ massive lymphadenopathy¸¦ °í·ÁÇÒ ¶§ lymphoma °¡´É¼ºÀÌ °¡Àå ¸ÕÀú °í·ÁµÊ.

³»½Ã°æ µµÁß hepatic flexure±îÁö µ¹ÃâµÈ º´º¯ÀÌ ¼ÒÀåÀ¸·Î ¹Ð·Áµé¾î°¨. ¼ÒÀå mass·Î ÀÎÇÑ intussusceptionÀÓ. Á¶Á÷°Ë»ç: atypical blue cell. lymphoid ȤÀº NET ±â¿ø °¡´É¼º.

CD20


RLQ pain°ú ¹ß¿­·Î CT °Ë»ç¸¦ ÅëÇÏ¿© Á¾¾çÀÌ ¹ß°ßµÇ¾ú½À´Ï´Ù. ¼ö¼úÀ» ÇÏ¿´½À´Ï´Ù.


Diffuse large B cell lymphoma
1. Location: small bowel
2. Gross type: ulcerofungating
3. Size: 4.5x4 cm
4. Depth of invasion: invades subserosa (pT3)
5. Resection margin: free from malignant lymphoma - safety margin: proximal, 7 cm ; distal, 4.5 cm
6. Regional lymph node metastasis : No metastasis in all regional lymph nodes(pN0)
7. Lymphatic invasion: not identified
8. Venous invasion: not identified
9. Perineural invasion: present(intramural)
10. Tumor border: infiltrative
11. Associated findings : perforation
12. Pathologic staging: pT3 N0


º¹ÅëÀ¸·Î ½ÃÇàÇÑ CT¿¡¼­ mass°¡ ¹ß°ßµÇ¾î ³»½Ã°æ °Ë»ç¿¡¼­ diffuse large B cell lymphoma°¡ È®ÀÎµÇ¾î ¼ö¼úÀ» ÇÏ¿´½À´Ï´Ù.


Ascending colon, cecum, appendix, and terminal ileum, right hemicolectomy: Diffuse large B-cell lymphoma, not otherwise specified, activated B-cell type
1. Location: terminal ileum
2. Gross type: bulky transmural mass
3. Size: 13x8.5 cm
4. Depth of invasion: directly invades adjacent soft tissue including bladder serosa and peritoneum
5. Resection margin: free from lymphoma, safety margin: nearest, 5.5 cm ; opposite, 5.0 cm
6. Regional lymph node metastasis : No metastasis


[References]

1) EsoTODAY - Esophageal diseases

2) SmallTODAY - Small bowel diseases

3) ColonTODAY - Colorectal diseases

© EndoTODAY Endoscopy Learning Center. Jun Haeng Lee. ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà