Abstract
We report it this time because we experienced Gastric Plasmacytoma.
The case is 92 years old woman. The anamnesis is a stomach polyp, prolapsis uteri, a cataract.
With a chief complaint of poor feeding, fatigue, melena from the front for one month, she had been seen in a clinic. It is pointed out a stomach polyp with upper endoscopy, and she had introduced for an excision purpose.
At the first examination, there was not the abdominal symptom. But she became the hospitalization for a complete examination because she had severe anemia (Hb4.6mg/dl) by a blood test. With upper endoscopy, there were two huge polyps (80mm, 40mm) in a stomach. We enforced an operation because the anemia may be worse and her general status was good in spite of advanced age.
In abdominal operation views, two existing tumors infiltrated it to a serosal membrane. We operated partial gastrectomy and, as for the postoperative progress, are good. The results of pathological diagnosis indicated that the tumors were malignant lymphoma of non-Hodgkin type, more specifically, lymphoplasmacytic type, SE, N1 and Stage Ⅲa. Immunostaining showed that CD138 and immunoglobulin light-chain κ were positive.
In Plasmacytoma, Gastric Plasmacytoma is extremely rare. We put report from literatures and consideration together and report the image views that I got for this case.
