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간문부 담관암과 유사한 원발 담관 점막 연관 림프조직 림프종 1예
황승하 ( Seungha Hwang ),송태준 ( Tae Jun Song ),소설 ( Seol So ),전민경 ( Min Kyung Jeon ),오은혜 ( Eun Hye Oh ),권병수 ( Byoung Soo Kwon ),안수종 ( Sujong An ),김명환 ( Myung Hwan Kim ) 대한소화기학회 2016 대한소화기학회지 Vol.68 No.2
Primary biliary mucosa-associated lymphoid tissue (MALT) lymphoma is extremely rare. We report a case of primary biliary MALT lymphoma with obstructive jaundice diagnosed by endoscopic biopsy, without surgical intervention. Obstructive jaundice was relieved by endoscopic drainage and endoscopic biopsy was done simultaneously during endoscopic retrograde cholangiopancreatography. Unnecessary surgical intervention can be avoided after pathological confirmation of lymphoma. The patient received radiotherapy, and is alive without any evidence of recurrence or biliary obstruction. Diagnosis of primary biliary lymphoma is very difficult because of its low prevalence. However, it should always be considered as a differential diagnosis, since when an accurate diagnosis is made, unnecessary surgical intervention can be avoided. (Korean J Gastroenterol 2016,68:114-118)