title: [Gastric and pleural localization of Waldenström's disease].
abstract: 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.
mesh_terms: D002699:Chlorambucil / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007075:Immunoglobulin M / Q000032:analysis; D007583:Jejunum / Q000276:immunology; D008875:Middle Aged; D010994:Pleura / Q000473:pathology; D010998:Pleurisy / Q000209:etiology* / Q000276:immunology / Q000473:pathology; D013270:Stomach / Q000473:pathology; D013272:Stomach Diseases / Q000209:etiology* / Q000276:immunology / Q000473:pathology; D008258:Waldenstrom Macroglobulinemia / Q000150:complications* / Q000276:immunology / Q000473:pathology
chemical_list: D007075:Immunoglobulin M; D002699:Chlorambucil
vernacular_title: Localisations gastriques et pleurales de la maladie de Waldenström