Liu Xue-Mei, Di Lian-Jun, Zhu Jia-Xing, Wu Xing-Long, Li Hong-Ping, Wu Hui-Chao, Tuo Bi-Guang
Department of Gastroenterology, Affiliated Hospital of Zunyi Medical University, Zunyi 563003, Guizhou Province, China.
Department of Pathology, Affiliated Hospital of Zunyi Medical University, Zunyi 563003, Guizhou Province, China.
World J Clin Cases. 2020 Oct 6;8(19):4667-4675. doi: 10.12998/wjcc.v8.i19.4667.
Localized primary gastric amyloidosis is a rare disorder characterized by the extracellular deposition of insoluble fibrillary protein in the stomach and can mimic various diseases on endoscopic examination, including gastrointestinal stromal tumors, gastric cancer and ulcers.
Here, we report a series of three cases of localized gastric amyloidosis mimicking gastric mucosa-associated lymphoid tissue (MALT) lymphoma on endoscopic examination that were evaluated over the past ten years in our hospital. The different detection times of this rare disease resulted in three completely different outcomes, indicating the strong importance of early detection, diagnosis and treatment. The difficulties encountered in making an accurate diagnosis and differential diagnosis are highlighted, and this report provides clinical experience for the diagnosis of localized primary gastric amyloidosis.
Localized gastric amyloidosis is a rare metabolic disease that resembles MALT lymphoma. Early detection, diagnosis and treatment of localized gastric amyloidosis result in an excellent prognosis.
局限性原发性胃淀粉样变性是一种罕见疾病,其特征为胃内不溶性纤维状蛋白的细胞外沉积,在内镜检查中可类似多种疾病,包括胃肠道间质瘤、胃癌和溃疡。
在此,我们报告过去十年间在我院评估的一系列三例局限性胃淀粉样变性病例,这些病例在内镜检查中类似胃黏膜相关淋巴组织(MALT)淋巴瘤。这种罕见疾病的不同检测时间导致了三种截然不同的结果,表明早期检测、诊断和治疗的重要性。强调了准确诊断和鉴别诊断中遇到的困难,本报告为局限性原发性胃淀粉样变性的诊断提供了临床经验。
局限性胃淀粉样变性是一种类似MALT淋巴瘤的罕见代谢性疾病。局限性胃淀粉样变性的早期检测、诊断和治疗可带来良好预后。