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髓外浆细胞瘤(extramedullary plasmacytoma,EMP)是原发骨髓造血系统外的恶性单克隆浆细胞病变,约占全身浆细胞瘤3%~4%[1]。大约有90%发生在头颈部,尤其是上呼吸道,包括会厌、鼻咽部和扁桃体等。而发生于胃肠道的浆细胞瘤则非常罕见[2-3],国内外多见于个案报道。现报道我院收治1例胃浆细胞瘤(gastric plasmacytoma)患者,经手术和病理检查证实。并复习文献,旨在提高对该病的认识。45一、临床资料患者男,64岁。因发现腹部肿块进行性增大4年入院。患者4年前触及上腹部一质硬肿块,一直未予诊治。4个月前发
Extramedullary plasmacytoma (EMP) is a malignant monoclonal plasma cell disease outside the primary bone marrow hematopoietic system, accounting for 3% to 4% of whole body plasmacytoma [1]. About 90% occur in the head and neck, especially the upper respiratory tract, including epiglottis, nasopharynx and tonsils. Plasmacytoma occurs in the gastrointestinal tract is very rare [2-3], more common in domestic and international case reports. It is reported that our hospital admitted to a case of gastric plasmacytoma patients, confirmed by surgery and pathology. And review the literature to raise awareness of the disease. 45 First, the clinical data Patient male, 64 years old. Abdominal mass was found to increase 4 years admitted. Four years ago, the patient touched a hard lump in the upper abdomen and had not been diagnosed. Made 4 months ago