A CASE OF SUPERFICIAL ELEVATED LESION THAT WAS DIFFICULT TO DISTINGUISH FROM EXTRAMEDULLARY PLASMACYTOMA OF THE STOMACH

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  • 胃原発髄外性形質細胞腫との鑑別に苦慮した表面隆起型病変の1例

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Abstract

<p>A 67-year-old female was found to have an elevated lesion of about 15mm in size at the gastric body by gastrointestinal endoscopy which had not been recognized one year previously. Magnifying endoscopy with narrow-band imaging showed outgrowth of capillaries from the lesion. However, the microvascular patterns were regular. Endoscopic imaging suggested that the lesion was most likely a plasmacytoma. Endoscopic submucosal dissection was performed to confirm the diagnosis. Pathological examination of the resected specimen revealed invasion of plasma cells expressing kappa chain and lambda chain. This lesion did not meet the criteria of plasmacytoma. The endoscopic image of this case resembled the image of plasmacytomas. This case demonstrates the limit of endoscopic diagnosis.</p>

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