A Case of Anaplastic Large Cell Lymphoma Misdiagnosed as Pulmonary Tuberculosis

폐결핵으로 오인된 역형성 거대세포 림프종 1례

  • Hyun, Dong-Woo (Department of Internal Medicine, Kyungpook National University, School of Medicine) ;
  • Park, Jae-Yong (Department of Internal Medicine, Kyungpook National University, School of Medicine) ;
  • Kang, Tae-Kyung (Department of Internal Medicine, Kyungpook National University, School of Medicine) ;
  • Park, Ki-Soo (Department of Internal Medicine, Kyungpook National University, School of Medicine) ;
  • Park, Tae-In (Department of Pathology, Kyungpook National University, School of Medicine) ;
  • Kim, Chang-Ho (Department of Internal Medicine, Kyungpook National University, School of Medicine) ;
  • Sohn, Sang-Kyun (Department of Internal Medicine, Kyungpook National University, School of Medicine) ;
  • Kwon, Kun-Young (Department of Pathology, Keimyung University) ;
  • Lee, Kyu-Bo (Department of Internal Medicine, Kyungpook National University, School of Medicine) ;
  • Jung, Tae-Hoon (Department of Internal Medicine, Kyungpook National University, School of Medicine) ;
  • Kweon, Sam (Department of Internal Medicine, Dongkook University, School of Medicine)
  • 현동우 (경북대학교 의과대학 내과학교실) ;
  • 박재용 (경북대학교 의과대학 내과학교실) ;
  • 강태경 (경북대학교 의과대학 내과학교실) ;
  • 박기수 (경북대학교 의과대학 내과학교실) ;
  • 박태인 (경북대학교 의과대학 해부병리학교실) ;
  • 김창호 (경북대학교 의과대학 내과학교실) ;
  • 손상균 (경북대학교 의과대학 내과학교실) ;
  • 권건영 (계명대학교 의과대학 해부병리학교실) ;
  • 이규보 (경북대학교 의과대학 내과학교실) ;
  • 정태훈 (경북대학교 의과대학 내과학교실) ;
  • 권삼 (동국대학교 의과대학 내과학교실)
  • Published : 1998.02.28

Abstract

Anaplastic large cell lymphoma(ALCL) is a recently recognized large cell lymphoma characterized by large pleomorphic cells, with prominent nucleoli, expressing the CD30(Ki-1) antigen. It is often misdiagnosed as metastatic carcinoma, malignant histiocytosis or Hodgkin's disease. Primary pulmonary ALCL is extremely rare although it frequently involves extranodal sites, e.g. skin, bone, gastrointestinal tract, soft tissue and lung. We report a case of ALCL suspected as primarily involving lung.

저자들은 발열, 체중감소 등의 증상과 흉부 X-선 사진상 폐경화의 소견이 있었던 환자에서 폐의 병변이 역형성 거대세포 림프종으로 추측되는 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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