Fendel E H, Fazio V W
Dis Colon Rectum. 1981 Nov-Dec;24(8):633-5. doi: 10.1007/BF02605763.
Extramedullary plasmacytoma (EMP) of the small bowel is a rare entity previously reported as a cause of intestinal obstruction or bleeding. A case report of this disease entity presenting as an ileocolic fistula is reported. EMP is diagnosed by the following criteria: 1) absence of paraproteinemia; 2) absence of Bence Jones proteinuria; 3) normal skeletal survey; and 4) normal bone marrow biopsy specimen. Gastrointestinal plasmacytoma often occurs as a manifestation of multiple myeloma. EMP of the gastrointestinal tract is a rare manifestation of the disease, accounting for 13 per cent of all cases of EMP. It is a slow-spreading, radiosensitive tumor with a high tendency toward local recurrence. Surgical excision combined with radiotherapy is the treatment of choice for EMP of the gastrointestinal tract.
小肠髓外浆细胞瘤（EMP）是一种罕见的疾病，此前曾有报道称其可导致肠梗阻或出血。本文报告了一例以回结肠瘘形式出现的该疾病病例。EMP的诊断依据以下标准：1）无副蛋白血症；2）无本-周蛋白尿；3）骨骼检查正常；4）骨髓活检标本正常。胃肠道浆细胞瘤常作为多发性骨髓瘤的一种表现出现。胃肠道EMP是该疾病的一种罕见表现，占所有EMP病例的13%。它是一种扩散缓慢、对放疗敏感的肿瘤，局部复发倾向较高。手术切除联合放疗是胃肠道EMP的首选治疗方法。
