Primary gastric plasmacytoma of rapid growth presenting with upper gastrointestinal bleeding.
We report a new case of primary gastric plasmacytoma. The presenting symptoms was upper gastrointestinal bleeding, and the diagnosis was made preoperatively by means of gastroscopically obtained biopsy material. The demonstration of a single type of IgA-kappa immunoglobulin in plasma cells infiltrating the gastric antrum is considered conclusive evidence of its neoplastic nature. Endoscopically, the gastric plasmacytoma progresses from a benign antral ulcer (0.5 cm in diameter) to an ulcerated mass (7 cm in diameter) in an 8-wk period, suggesting rapid tumoral growth of a kind not described in the revised literature.
Ruiz Montes
F
F
Department of Internal Medicine, Barbastro Hospital, Huesca, Spain.
Reñé Espinet
J M
JM
Buenestado García
J
J
Panades Siurana
M J
MJ
Egido García
R
R
Ramos Yañez
J
J
D001706:Biopsy; D005753:Gastric Mucosa / Q000473:pathology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010954:Plasmacytoma / Q000150:complications* / Q000473:pathology; D013274:Stomach Neoplasms / Q000150:complications* / Q000473:pathology