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KMID : 1038120140470060564
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Clinical Endoscopy
2014 Volume.47 No. 6 p.564 ~ p.567
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Successful Treatment of a Gastric Plasmacytoma Using a Combination of Endoscopic Submucosal Dissection and Oral Thalidomide
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Park Se-Young
Moon Hee-Seok
Seong Jae-Kyu
Jeong Hyun-Yong
Yoon Beum-Yong
Hwang Se-Woong
Song Kyu-Sang
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Abstract
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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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KEYWORD
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Endoscopic submucosal dissection, Gastric plasmacytoma, Extramedullary plasmacytomas
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