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Successful Treatment of a Gastric Plasmacytoma Using a Combination of Endoscopic Submucosal Dissection and Oral Thalidomide
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Se Young Park, Hee Seok Moon, Jae Kyu Seong, Hyun Yong Jeong, Beum Yong Yoon, Se Woong Hwang, Kyu Sang Song
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Clin Endosc 2014;47(6):564-567. Published online November 30, 2014
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DOI: https://doi.org/10.5946/ce.2014.47.6.564
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Abstract
PDFPubReaderePub
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.
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Citations
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