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좌측 이하부아 발생한조직구침윤형 괴사성 림프절염
Histiocytic Necrotizing Lymphadenitis of the Left Parotid Area

대한구강악안면병리학회지 1999년 23권 1호 p.59 ~ 64

임지준, 홍삼표, 김종태, 팽준영, 임창윤,

소속 상세정보

임지준 (  ) - 서울대학교 치과대학 구강병리학교실
홍삼표 (  ) - 서울대학교 치과대학 구강병리학교실
김종태 (  ) - 서울대학교 치과대학 구강병리학교실
팽준영 (  ) - 서울대학교 치과대학 구강악안면외과학
임창윤 (  ) - 서울대학교 치과대학 구강악안면외과학

KMID : 0829219990230010059

Abstract

Histiocytic necrotizing lymphadenitis is relatively uncommen in the parotid area. The careful histopathologic examination should be exerted in order to establish the diagnosis of histiocytic necrotizing Iymphadenitis, because of its histopathologic similarity to malignant Ifmphoma.
A 25-year-old frmale visited the Department of Oral and maxillofacial surgery, college of dentistry, Seoul National University, complaining of bean nut size painless swelling on the left parotid area. The swelling was noticed 3 years ago, and had not increased in size, around admission. Punch biopsy on the parotid swelling showed sheets of macrophages laden with necrotic debris on the background of patch distibution of immunoblasts and pIasmacytoid Iymphocytes confirmed as T cell origin by positive immunoreactivity to Uchl-1. These findings are highly typical of histiocytic necrotizing Iymphadenits. MRI showed bilateral swelling of jugular digastric Iymph nodes.