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1.
Clinical Endoscopy ; : 564-567, 2014.
Article Dans Anglais | WPRIM | ID: wpr-16145

Résumé

We report a rare case of a gastric plasmacytoma treated with endoscopic resection and oral thalidomide therapy. A 70-year-old man was admitted to our hospital with indigestion. He had no specific medical history and unremarkable laboratory results. Gastroendoscopic findings revealed a focal, erythematous, flat elevated lesion in the anterior wall of the stomach antrum. A biopsy revealed atypical lymphocytes. Endoscopic submucosal dissection (ESD) with an insulation-tipped knife was performed 45 days after diagnosis. Radiological and hematological evaluations, including a bone marrow biopsy, were performed and showed no involvement of other organs. The patient was diagnosed with extramedullary gastric plasmacytoma. Follow-up gastroendoscopy was performed three times during a 2-year period and showed nonspecific ESD scarring. The patient's condition was found to be stable.


Sujets)
Sujet âgé , Humains , Biopsie , Moelle osseuse , Cicatrice , Diagnostic , Dyspepsie , Études de suivi , Lymphocytes , Plasmocytome , Estomac , Thalidomide
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