Padda Manmeet S, Milless Tiffani, Adeniran Adebowale J, Mahooti Sepi, Aslanian Harry R
Department of Internal Medicine, Division of Digestive Diseases, New Haven, Conn., USA.
Case Rep Gastroenterol. 2010 Sep 28;4(3):410-415. doi: 10.1159/000321050.
Pancreatic plasmacytoma is a rare disorder which may present with obstructive jaundice. Only eighteen cases have been reported in the English language literature. We present the first case of pancreatic plasmacytoma and gastric plasmacytoma diagnosed with endoscopic ultrasound-guided fine needle aspiration (EUS-FNA). A 75-year-old male with a known history of multiple myeloma presented with obstructive jaundice and a pancreatic mass. A concomitant gastric mass due to gastric plasmacytoma was seen. The diagnosis was established via EUS-FNA of the pancreatic mass. Pancreatic plasmacytoma should be suspected in patients with a history of myeloma. EUS-FNA is a safe and effective modality in the diagnosis of pancreatic plasmacytoma. Radiation therapy should be the first-line of therapy in treating pancreatic plasmacytomas.
胰腺浆细胞瘤是一种罕见疾病，可能表现为梗阻性黄疸。英文文献中仅报道过18例。我们报告首例经内镜超声引导下细针穿刺抽吸术（EUS-FNA）诊断的胰腺浆细胞瘤和胃浆细胞瘤。一名有已知多发性骨髓瘤病史的75岁男性出现梗阻性黄疸和胰腺肿块。同时发现了由胃浆细胞瘤引起的胃部肿块。通过对胰腺肿块进行EUS-FNA确诊。有骨髓瘤病史的患者应怀疑胰腺浆细胞瘤。EUS-FNA是诊断胰腺浆细胞瘤的一种安全有效的方法。放射治疗应作为治疗胰腺浆细胞瘤的一线治疗方法。
