재발된 원발성 고환림프종이 동반된 류마티스 관절염 환자에서 Rituximab으로 치료한 1예 = A Case of Rheumatoid Arthritis with Relapsing Primary Testicular Lymphoma Treated with Rituximab

다국어 초록 (Multilingual Abstract)

Several studies have shown that patients with rheumatoid arthritis(RA) have a doubled to tripled increased risk for developing lymphomas compared with the general population, Indeed, primary testicular lymphoma accounts for about 1% of all lymphomas. We present a case of RA with primary testicular lymphoma treated with rituximab. A 67-year-o1d man was admitted due to aggravated polyarthralgia and morning stiffness. hIe was diagnosed testicular diffuse large B cell lymphoma (DLBCL) and done orchidectomy last year. There was no adjuvant chemotherapy nor radiotherapy because of patient's loss. Abdominal computed tomography (CT)scan showed about 6x4cm mass on the left adrenal gland. Malignant lymphoma (DLBCL) was proven by CT guided needle biopsy and he was treated with CHOP (cyclophosphamide, hydroxydaunorubicine, oncovin, prednisone) and rituximab (375㎎/㎡) combination regimen. After two cycle treatment, the clinical symptoms and laboratory data improved.