Du Fengcai, Jiang Lixin, Zhu Fangqing, Gong Zhao Hua, Chen Jian, Zhang Liangming
Oncology Department, Qingdao University Affiliated Hospital - Yantai Yuhuangding Hospital, Yantai, Shandong 264000, P.R. China; First Clinical Department of Graduate Academy, Dalian Midical University, Dalian, Liaoning 116000, P.R. China.
Gastrointestinal Thyroid Surgery Department, Yantai Yuhuangding Hospital, Yantai, Shandong 264000, P.R. China.
Oncol Lett. 2016 Aug;12(2):1551-1553. doi: 10.3892/ol.2016.4769. Epub 2016 Jun 23.
Here, we report the case of a 77-year-old male patient who was revealed to have an unsuspected case of gastric adenocarcinoma with paravertebral plasmacytoma following biopsy. Plasmacytoma may be classified into two main groups: Multiple myeloma and plasmacytoma without marrow involvement. It comprises isolated plasmacytoma of the bone and extramedullary plasmacytoma. Extramedullary plasmacytoma (EMP) accounts for 3% of all plasmacytomas; however, ~80% are located in the upper respiratory tract and upper gastrointestinal tract. It occurs extremely rarely in paravertebral areas. Case reports of EMP and other types of malignant tumor occurring at the same time have not been identified in searches of the literature. In the present study, we describe the diagnosis and treatment process of a case of gastric adenocarcinoma concurrent with paravertebral plasmacytoma. It may be helpful for early clinical diagnosis and treatment of such cases.
在此，我们报告一例77岁男性患者，活检后发现患有未被怀疑的胃腺癌合并椎旁浆细胞瘤。浆细胞瘤可分为两大类：多发性骨髓瘤和无骨髓受累的浆细胞瘤。它包括孤立性骨浆细胞瘤和髓外浆细胞瘤。髓外浆细胞瘤（EMP）占所有浆细胞瘤的3%；然而，约80%位于上呼吸道和上消化道。它在椎旁区域极为罕见。在文献检索中未发现EMP与其他类型恶性肿瘤同时发生的病例报告。在本研究中，我们描述了一例胃腺癌并发椎旁浆细胞瘤的诊断和治疗过程。这可能有助于此类病例的早期临床诊断和治疗。
