Successful Treatment of a Gastric Plasmacytoma Using a Combination of Endoscopic Submucosal Dissection and Oral Thalidomide.
- Author:
Se Young PARK
1
;
Hee Seok MOON
;
Jae Kyu SEONG
;
Hyun Yong JEONG
;
Beum Yong YOON
;
Se Woong HWANG
;
Kyu Sang SONG
Author Information
- Publication Type:Case Report
- Keywords: Endoscopic submucosal dissection; Gastric plasmacytoma; Extramedullary plasmacytomas
- MeSH: Aged; Biopsy; Bone Marrow; Cicatrix; Diagnosis; Dyspepsia; Follow-Up Studies; Humans; Lymphocytes; Plasmacytoma*; Stomach; Thalidomide*
- From:Clinical Endoscopy 2014;47(6):564-567
- CountryRepublic of Korea
- Language:English
- Abstract: 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.
