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증례 : 순환기 ; 저나트륨혈증에 의한 폐부종을 동반한 동기능부전
류수령 ( Soo Ryeong Ryoo ),김영권 ( Young-kwon Kim ),신성준 ( Sung Jun Shin ),남성은 ( Seong Eun Nam ),오동준 ( Dong Jun Oh ),권기환 ( Ki Hwan Kwon ),차주경 ( Joo Kyoung Cha ) 대한내과학회 2016 대한내과학회지 Vol.90 No.5
저나트륨혈증은 입원 환자에서 비교적 흔히 관찰되며 일반적으로 저나트륨혈증은 심박수 및 전도에 영향이 거의 없는 것으로 알려져 있다. 본 증례에서는 중증도의 저나트륨혈증이 동기능부전을 통한 서맥 동반하였으며 저나트륨혈증을 교정한 후에는 동기능부전이 회복되어 문헌고찰과 함께 보고하는 바이다. Hyponatremia is the most common electrolyte abnormality in hospitalized patients and often presents no symptoms. The association between sinus node dysfunction and hyponatremia has rarely been reported. We describe a 77-year-old woman who developed reversible sinus node dysfunction accompanied by pulmonary edema that was associated with hyponatremia. (Korean J Med 2016;90:444-448)
다른 시기에 식도와 위를 침범한 원발성 점막 연관 림프종
변승주 ( Seung Joo Byun ),강현우 ( Hyoun Woo Kang ),차주경 ( Joo Kyoung Cha ),류수령 ( Soo Ryeong Ryoo ),이정현 ( Jeong Hyeon Lee ),김도연 ( Do Yeon Kim ),김어진 ( Eo Jin Kim ) 대한소화기학회 2016 대한소화기학회지 Vol.67 No.5
Mucosa-associated lymphoid tissue (MALT) lymphoma is found in various organs as extranodal B cell lymphoma. The gastrointestinal tract is the most commonly involved extranodal site in MALT lymphoma. However, primary esophageal MALT lymphoma is very rare. In addition, few cases with metachronous gastric involvement have been reported. A 55-year-old man was diagnosed with MALT lymphoma by surveillance esophagogastroduodenoscopy. A 5 cm esophageal submucosal tumor-like lesion was incidentally revealed by screening esophagogastroduodenoscopy two years prior. Esophagogastroduodenoscopy showed a cylindrically elongated submucosal mass with normal overlying mucosa in the mid esophagus. He underwent surgery to confirm the diagnosis. The pathologic diagnosis was esophageal MALT lymphoma. He was treated with radiation, which achieved complete remission. Esophagogastroduodenoscopy and chest computed tomography were performed every three to six months, with no evidence of recurrence for 18 months. After 21 months, several elevated gastric erosions were found on the great curvature and posterior sides of the midbody and confirmed as MALT lymphoma pathologically. Here we report a case with MALT lymphoma metachronously involving the esophagus and stomach. (Korean J Gastroenterol 2016;67:257-261)
십이지장 위장관기질종양 내에서 발견된 혈관내큰B세포림프종 1예
이정현 ( Jeong Hyeon Lee ),이준규 ( Jun Kyu Lee ),류수령 ( Soo Ryeong Ryoo ),변승주 ( Seung Joo Byun ),한강민 ( Kang Min Han ),정진희 ( Jin Hee Jung ),한인웅 ( In Woong Han ),권재현 ( Jae Hyun Kwon ),김어진 ( Eo Jin Kim ) 대한췌담도학회 2016 대한췌담도학회지 Vol.21 No.4
혈관내큰B세포림프종은 악성 림프구의 혈관 내 성장을 보이는 드문 질환으로, 말초혈액 또는 혈관 외 종괴를 보이지 않는다. 이 림프종은 빠른 파종 및 공격적 성향 때문에 나쁜예후를 가진다. 그러나 질병특유소견이 없어 진단이 어려운 실정이다. 저자들은 십이지장 위장관기질종양의 수술 검체내에서 혈관내큰B세포림프종이 진단된 증례를 발견하였기에 문헌고찰과 함께 보고하는 바이다. Intravascular large B-cell lymphoma (IVLBCL) is a rare disease of intravascular growth of malignant lymphocytes without an obvious extravascular tumor mass or existence in peripheral blood. It has poor prognosis due to its aggressive behavior and rapid systemic dissemination. But there is no pathognomonic finding, diagnosis of IVLBCL is still challenging. Here we report a case of IVLBCL found within a resected specimen of duodenal gastrointestinal stromal tumor.