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자궁체부의 원발성 악성 림프종 1예

A CASE OF PRIMARY MALIGNANT LYMPHOMA OF THE UTERUS

대한산부인과학회지 2011년 54권 1호 p.54 ~ 57
서민정 ( Suh Min-Jung ) - 가톨릭대학교 의과대학 성빈센트병원 산부인과학교실

박동춘 ( Park Dong-Choon ) - 가톨릭대학교 의과대학 성빈센트병원 산부인과학교실

Abstract

본 증례에서는 위암으로 2007년 11월 수술 및 완치 판정 후 추적관찰 중 골반 computed tomography에서 자궁경부암 또는 자궁육종으로 의심되는 자궁 종괴가 관찰되어 본과로 전원, 변형근치 광범위 전자궁절제술 및 골반림프절 절제술 시행 후 조직학적 검사상 미만성 대형 B형세포 림프종으로 진단되어 현재 cyclophosphamide, adriamycin, vincristine과 prednisone 항암화학요법 치료 중인 한 예가 있어 간단 한 문헌고찰을 통해 보고하는 바이다.

Primary uterine non?Hodgkin’s lymphoma is a rare malignancy and the most common histological subtype is the diffuse large B?cell lymphoma. This case is a patient underwent surgery for early gastric cancer in November 2007, and determined to be completely cured, and subsequently, during the follow up observation, in pelvic computed tomography, a uterine mass suspicious to be either uterine cervical cancer or uterine sarcoma was observed. She was transferred to department of gynecologic oncology, modified radical hysterectomy and pelvic lymph node dissection were performed. Histologically the uterine mass was diagnosed as diffuse large B?cell lymphoma. Currently she is received the rituximab, cyclophosphamide, adriamycin, vincristine, and prednisone chemotherapy. Thus we report the case with a brief review of the literature. Primary malignant lymphoma in the uterus is very rare, and its diagnosis as well as treatments has not been established. Therefore, in the future, through continuous clinical discussion on this disease, a guideline for the diagnosis and treatment for primary uterine lymphoma should be established.

키워드

림프종;자궁체부암
Lymphoma;Uterine cancer
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