Radiation Oncology Journal
- 제5권1호
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- Pages.37-41
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- 1987
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- 2234-1900(pISSN)
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- 2234-3156(eISSN)
혈관여포양 임파선 증식증 -1예 보고-
Angiofollicular Lymph Node Hyperplasia (= Castleman's Disease) -Report of A Case -
- 길학준 (가톨릭의과대학 강남성모병원 방사선치료실) ;
- 오윤경 (가톨릭의과대학 강남성모병원 방사선치료실) ;
- 윤세철 (가톨릭의과대학 강남성모병원 방사선치료실) ;
- 신경섭 (가톨릭의과대학 강남성모병원 방사선치료실) ;
- 박용휘 (가톨릭의과대학 강남성모병원 방사선치료실)
- Gil, Hak-Jun (Division of Radiation Therapy, Kangnam St. Mary's Hospital, Catholic University Medical College) ;
- Oh, Yoon-Kyung (Division of Radiation Therapy, Kangnam St. Mary's Hospital, Catholic University Medical College) ;
- Yoon, Sei-Chul (Division of Radiation Therapy, Kangnam St. Mary's Hospital, Catholic University Medical College) ;
- Shinn, Kyung-Sub (Division of Radiation Therapy, Kangnam St. Mary's Hospital, Catholic University Medical College) ;
- Bahk, Yong-Whee (Division of Radiation Therapy, Kangnam St. Mary's Hospital, Catholic University Medical College)
- 발행 : 1987.06.01
초록
혈관여포양 임 파선증식 증 (angiofollicular lymph node hyperplasia)은 원인 미상의 드문 양성 질환으로서 대부분 흉곽내에 발생한다. 진단은 임상증상, 이학적 경사 그리고 X-선 촬영을 비롯한 각종 영상술에 의하며 여러 다른 질환과 감별진단이 어렵다. 대개 수술적 적출에 의한 조직학적 검색으로 확진이 된다. 조직학적으로는 두 가지로 분류되며 하나는 초자양혈관형으로서 여포내에 혈관이 증식되고 초자양화(hyalinization)가 일어나는 것이 특징이다.
Angiofollicular lymph node hyperplasia (AFLNH) with well marginated lymphoid masses, is a rare benign disease of unknown etiology. The majority of the disease develop intrathoracically. Histologically this disease can be divided into the hyaline-vascular and the plasma cell types with the hyaline-vascular type prevailing. The plasma cell variant has been associated with nephrotic syndrome, anemia, growth failure, fever, hyperglobulinemia, peripheral neuropathy, and hypoalbuminemia. Surgical resection is known to be treatment of choice in most cases, and radiotherapy is reserved for advanced, unresectable lesions. We report a complete remission of AFLNH in a case treated by sugical excision followed by irradiation.