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난소에 발생한 Burkitt씨 임파종 1예
A Case of Burkitts Lymphoma in the Both Ovaries
권태정(TJ Kown),노재윤(JY Ro),김대현(TH Kim),이국(K Lee)
UCI I410-ECN-0102-2009-510-005406863

18세 여자환자의 양측 난소에서 Burkitt씨 임파종 1예를 경험하여 그 임상적, 병리조직학적, 조직화학적 및 전자현미경적 검사를 실시하여 보고하고 아울러 문헌고찰을 시행하였다. 그 결과 우리나라에서도 Burkitt씨 임파종이 발생될 수 있을 것으로 생각되었으며 임상학적으로나 조직학적으로 전형적인 경우 과감하게 Burkitt씨 임파종이라고 진단해도 좋을 것으로 사료되었다.

Burkitts lymphoma which shows widespread multi-organ involvement with relative sparing of peripheral lymph nodes and spleen is a highly malignant neoplasm of lymphoreticular system. Ever since the tumor was first recognized as jaw sarcoma among East African childrens(Burkitt; 1958), it has continued to be the subject of intensive epidemiologic, immunologic, etiologic, histochemical and ultrastructural studies. The classic light microscopic criteria of the Burkitts lymphome are; 1. the starry-sky appearance produced by the presence of non-neoplastic phagocytic histiocytes in a field of monomorphic undifferentiated lymphoreticular cells, 2. the histochemical triad of pyroninophilia, osmiophilia and PAS negativity in tumor cells. Electron microscopy not only reveals the characteristic nuclear and nucleolar features of the primitive lymphoreticular cells but also documents the presence in the cytoplasm of abundant ribosomes, frequent lipid inclusions, and absence of glycogen particles. I case of Burkitt`s lymphoma in the both ovaries which seemed to be one of the favorite sites of tumor was reported here. The patient was 18-year-old female and complained of lower abdominal palpable mass. A brief review of the literatures was also made.

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