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위장관 T 세포 림프종에 대한 소화기내과 의사의 초기 진단 정확도

Other Titles
 The Early Diagnostic Accuracy for Gastrointestinal T-cell Lymphoma from a Perspective of Gastroenterologists 
 류성호  ;  천재희  ;  김진영  ;  김보경  ;  윤진영  ;  정윤숙  ;  허현미  ;  이진하  ;  전승민  ;  홍성필  ;  김태일  ;  김원호 
 INTESTINAL RESEARCH, Vol.9(1) : 19-26, 2011 
Journal Title
Issue Date
Primary Gastrointestinal T-cell Lymphoma ; Gastroenterologist ; Early Diagnostic Accuracy
Background/Aims: Primary T-cell lymphoma of the gastrointestinal tract is a very difficult disease entity to
diagnose, and has an extremely poor prognosis. The aim of this study was to determine the early diagnostic accuracy
for gastrointestinal T-cell lymphoma by gastroenterologists. Methods: Between January 2000 and October 2010, the
clinical features of 15 patients with primary gastrointestinal T-cell lymphomas, including endoscopic findings,
radiologic diagnosis, endoscopic biopsy findings, and final diagnosis, were retrospectively reviewed. Results: The
most common initial presenting symptoms of primary gastrointestinal T-cell lymphomas was abdominal pain (n=11,
73%). The anatomic location of the primary lesion the small bowel (n=8, 53%), colon (n=5, 33%), and stomach
(n=3, 20%). There were no cases of T-cell lymphomas diagnosed based on clinical symptoms, radiologic findings,
or endoscopic findings without biopsy alone. Pathologic confirmation of T-cell lymphomas by endoscopic examination
was achieved in 7 cases (64%) and the remaining cases (n=8, 53%) were diagnosed with T-cell lymphomas based
on pathologic examination after surgery. Conclusions: All of the patients with primary T-cell lymphomas of the
gastrointestinal tract were diagnosed exclusively by endoscopic or surgical pathologic examainations, suggesting that
gastroenterologists should scrutinize and suspect this disease with caution due to atypical gastrointestinal ulcers
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Bo Kyung(김보경)
Kim, Won Ho(김원호) ORCID logo https://orcid.org/0000-0002-5682-9972
Kim, Jin Young(김진영)
Kim, Tae Il(김태일) ORCID logo https://orcid.org/0000-0003-4807-890X
Ryu, Sung Ho(류성호)
Yoon, Jin Young(윤진영)
Jeon, Soung Min(전승민)
Jung, Yoon Suk(정윤숙)
Cheon, Jae Hee(천재희) ORCID logo https://orcid.org/0000-0002-2282-8904
Hong, Sung Pil(홍성필)
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