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Korean J Med. 2015;88(2):177-181. Published online February 1, 2015.
DOI: https://doi.org/10.3904/kjm.2015.88.2.177
단일 간 종괴로 보여진 양성 림프구 과다 증식의 고주파 열치료
박서화, 강은규, 김민욱, 김현수, 김정권
홍익병원 소화기내과
Reactive Lymphoid Hyperplasia Treated with Radiofrequency Ablation
Seo Hwa Park, Eun Gyu Kang, Min Wook Kim, Hyun Soo Kim, Jeong Kwon Kim
Division of Gastroenterology, Department of Internal Medicine, Hongik Hospital, Seoul. Korea
Corresponding author: Jeong Kwon Kim ,Tel: +82-2-2600-1525, Fax: +82-2-2600-4605, Email: kimjkclinic@hanmail.net
Received: August 1, 2014; Revised: August 20, 2014   Accepted: October 29, 2014.
간 내 양성 림프구 과다 증식은 매우 드물게 발견되는 양성 질환이다. 현재까지 보고된 예들 중 대부분의 경우 간 절제술이 이루어졌으나 본 논문에서는 양성 림프구 과다 증식의 치료로 최초로 RFA를 시행했으며 이를 간 절제술을 대체 할 수 있는 치료 방법으로 제안하는 바이다.

߽ɾ :가성 림프종; 간의 양성 종양; 고주파 열치료
Abstract
Reactive lymphoid hyperplasia (RLH) is a rare benign liver mass that is characterized by proliferation of non-neoplastic lymphocytes extranodally. To date, only 43 cases have been reported in the English literature and 2 cases in the Korean literature. We report a case of hepatic RLH in a 36-year-old woman who had been diagnosed two years previously with an intrahepatic tumor that measured 0.6 × 1.0 cm on abdominal ultrasonography. Her medical history was otherwise unremarkable. On follow-up ultrasonography, the hepatic mass had increased in size. We biopsied the liver mass and the histopathologic findings confirmed reactive lymphoid hyperplasia. Radiofrequency ablation (RFA) was performed instead of surgical resection. The patient is currently doing well with no sign of relapse 1 year and 8 months after the RFA.

Keywords :Pseudolymphoma, Benign neoplasm of the liver, Radiofrequency catheter ablation
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