Pehlivan Yavuz, Sevinc Alper, Sari Ibrahim, Gulsen Murat T, Buyukberber Mehmet, Kalender Mehmet E, Camci Celalettin
Gaziantep University, School of Medicine, Department of Internal Medicine, Sahinbey Medical Center, Gaziantep, TR-27310, Turkey.
World J Gastroenterol. 2006 Apr 14;12(14):2305-7. doi: 10.3748/wjg.v12.i14.2305.
Multiple myeloma is a neoplasm of mature and immature plasma cells. A 50-year-old woman with lumbago, dysphagia, and left arm pain was presented. Upper endoscopical examination was performed. There was an exudate-covered ulcer in the distal esophagus, located at 30-32 cm from the incisors, covering the whole mucosa. Histopathological examination of the specimens obtained from the lesion showed the involvement of plasma cells consistent with multiple myeloma of IgG kappa subtype. Esophageal involvement of multiple myeloma should be kept in mind in patients presenting with dysphagia.
多发性骨髓瘤是一种成熟和未成熟浆细胞的肿瘤。本文介绍了一名50岁女性，有腰痛、吞咽困难和左臂疼痛症状。进行了上消化道内镜检查。在距门齿30 - 32厘米处的食管远端有一个被渗出物覆盖的溃疡，累及整个黏膜。对病变部位获取的标本进行组织病理学检查，结果显示浆细胞受累，符合IgG κ亚型的多发性骨髓瘤。对于出现吞咽困难的患者，应考虑多发性骨髓瘤累及食管的情况。
