Habeshaw J A, Hayward M J, McVie J G
Scand J Haematol. 1975 Mar;14(1):57-64. doi: 10.1111/j.1600-0609.1975.tb00293.x.
A single case of gastric plasmacytoma showing unusual clinical and pathological features is described. The patient had gluten sensitive enteropathy, and showed increased circulating IgA levels prior to gastrectomy. Progression of the disease was associated with both K and L light chain proteinuria, hypoalbuminaemia, and vasopressin resistant polyuria. Pathological investigation revealed the coexistence of IgA secreting soft tissue plasmacytoma, with IgG secreting myeloma. The significance of these findings is discussed.
本文描述了一例具有不寻常临床和病理特征的胃浆细胞瘤。该患者患有麸质敏感性肠病，在胃切除术前循环IgA水平升高。疾病进展与K和L轻链蛋白尿、低白蛋白血症以及抗血管加压素性多尿有关。病理检查发现IgA分泌性软组织浆细胞瘤与IgG分泌性骨髓瘤并存。对这些发现的意义进行了讨论。
