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[SmallTODAY 006 - 소장 림프종. Small bowel diffuse large B cell lymphoma]

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2019년 내시경세미나 홍성노 교수님 강의


RLQ pain과 발열로 CT 검사를 통하여 종양이 발견되었습니다. 수술을 하였습니다.


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


복통으로 시행한 CT에서 mass가 발견되어 내시경 검사에서 diffuse large B cell lymphoma가 확인되어 수술을 하였습니다.


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. 일원내시경교실 바른내시경연구소 이준행