Laroche C, Caquet R, Festal G, Cremer G A, Uro J
Sem Hop. 1975 Oct 23;51(42):2509-14.
The authors report a case of Waldenstrom's disease, the first sign of which, remaining for a long time the only sign, was a pseudo-carcinomatous infiltration of the stomach. Later, the patient developed a pleural localisation. These two lesions, gastric and pleural, are known but rare. The authors recall the main signs. They emphasize the long duration of the disease when treated by chlorambucil. A pathological IgM was found, not only in the serum of this patient, but also in the jejunal fluid aspirated during small intestinal biopsy.
作者报告了1例瓦尔登斯特伦病,其首个症状(且在很长一段时间内是唯一症状)是胃的假癌性浸润。后来,该患者出现了胸膜定位。胃和胸膜这两个病变是已知的,但很罕见。作者回顾了主要症状。他们强调了用苯丁酸氮芥治疗时疾病的漫长病程。不仅在该患者的血清中,而且在小肠活检时吸出的空肠液中都发现了病理性IgM。