Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Malignant T Cell Lymphoma of Chest Wall

흉벽에 발생한 악성 T 세포 임파종 1예

  • Hwang, Eai-Suk (Department of Internal Medicine, College of Medicine Yonsei University) ;
  • Kim, Hyung-Jung (Department of Internal Medicine, College of Medicine Yonsei University) ;
  • Lee, Jong-Hwa (Department of Internal Medicine, College of Medicine Yonsei University) ;
  • Ahn, Chul-Min (Department of Internal Medicine, College of Medicine Yonsei University) ;
  • Kim, Sung-Kyu (Department of Internal Medicine, College of Medicine Yonsei University) ;
  • Lee, Won-Young (Department of Internal Medicine, College of Medicine Yonsei University) ;
  • Kim, Sang-Jin (Department of Radiology, College of Medicine Yonsei University) ;
  • Choi, Youn-Jung (Department of Pathology, College of Medicine Yonsei University) ;
  • Jung, Woo-Hee (Department of Pathology, College of Medicine Yonsei University)
  • 황의석 (연세대학교 의과대학 내과학교실) ;
  • 김형중 (연세대학교 의과대학 내과학교실) ;
  • 이종화 (연세대학교 의과대학 내과학교실) ;
  • 안철민 (연세대학교 의과대학 내과학교실) ;
  • 김성규 (연세대학교 의과대학 내과학교실) ;
  • 이원영 (연세대학교 의과대학 내과학교실) ;
  • 김상진 (연세대학교 의과대학 방사선과학교실) ;
  • 최윤정 (연세대학교 의과대학 해부병리학교실) ;
  • 정우희 (연세대학교 의과대학 해부병리학교실)
  • Published : 1993.04.30
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Abstract

Malignant T cell lymphoma is a morphologically and immunologically distinct subtype of non-Hodgkin's lymphoma. One of the most striking clinical findings is relatively high incidence in males in their twenties or thirties with cervical, supraclavicular and axillary lymphadenopathy (50%), mediastinal mass (50%) or less commonly with extranodal disease. More than 90% of patients present with stage III or IV disease and approximately 60% of patients develop bone marrow infiltration. Clinical trials are needed to optimize therapeutic strategies, since these tumors have a poor prognosis and need to be treated aggressively. A 17-year-old male was admitted to the hospital because of chest pain. Chest PA and CT scan revealed massive pleural effusion and soft tissue masses with destructive change of right third and eighth ribs Histologic diagnosis of pleura and chest wall mass revealed high grade, pleomorphic T cell type, malignant lymphoma.

저자들은 10일간의 우측 흉통을 주소로 내원한 17세 남자환자에서 흉벽에 발생한 악성 T 세포형 임파종 1예를 경험 하였기에 문헌 고찰과 함께 보고하는 바이다.

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