[Russell body gastritis].
A 63-year-old woman who presented with chest and back pain underwent an upper gastrointestinal endoscopy which revealed elevated legion in the antrum mucosa. Histologic examinations of gastric biopsies were showing monoclonal proliferation plasma cells containing Russell bodies. Differential diagnosis from B-cell lymphoma and plasmacytoma is difficult, because of monoclonality. Molecular analyses of immunoglobulin heavy chain (IgH) gene demonstrated that gene rearrangement was negative. Thus, diagnosis of Russell body gastritis was made. The Giemsa stains were also showing infection of Helicobacter pylori (H.pylori). After eradication therapy for H.pylori, follow-up upper gastrointestinal endoscopy was performed. She then recovered.
Department of Gastroenterology and Gastroenterological Surgery, Moriguchi Keijinkai Hospital.
Susumu
S
Miura
Kentarou
K
Shirahama
Masahiro
M
Sakaguchi
Miyuki
M
Takao
Tomio
T
Hirakawa
Masayoshi
M
Nishihara
Mamoru
M
Shimada
Hiroshi
H
Oka
Shingo
S
Ishiguro
D002908:Chronic Disease; D005260:Female; D005756:Gastritis / Q000473:pathology*; D006801:Humans; D008875:Middle Aged