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Rasschaert G, Gkolfakis P, Eisendrath P, Verset L, Devière J, Lemmers A. Endoscopic submucosal dissection of a solitary gastric plasmacytoma: "third space oddity". Endoscopy 2022; 54:E732-E734. [PMID: 35272376 DOI: 10.1055/a-1773-0336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Affiliation(s)
- Gertjan Rasschaert
- Department of Gastroenterology and Digestive Oncology, CUB Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium
| | - Paraskevas Gkolfakis
- Department of Gastroenterology and Digestive Oncology, CUB Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.,Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, CUB Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
| | - Pierre Eisendrath
- Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, CUB Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium.,Department of Gastroenterology and Hepatology, CHU Saint-Pierre, Université Libre de Bruxelles, Brussels, Belgium
| | - Laurine Verset
- Department of Pathology, CUB Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium
| | - Jacques Devière
- Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, CUB Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
| | - Arnaud Lemmers
- Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, CUB Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
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Wang KW, Xiao N. Intestinal perforation with abdominal abscess caused by extramedullary plasmacytoma of small intestine: A case report and literature review. World J Gastrointest Surg 2022; 14:611-620. [PMID: 35979418 PMCID: PMC9258233 DOI: 10.4240/wjgs.v14.i6.611] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Revised: 01/26/2022] [Accepted: 05/23/2022] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Extramedullary plasmacytoma (EMP) of the gastrointestinal tract is an extremely rare disease. Clinical manifestations of EMPs are varied and depend on the location and progression of the tumor.
CASE SUMMARY Here, we firstly report a case of intestinal perforation with abdominal abscess caused by EMP of the small intestine in a 55-year-old female patient. The patient received emergency surgery immediately after the necessary preoperative procedures. During the operation, EMP was found to have caused the perforation of the small intestine and the formation of multiple abscesses in the abdominal cavity. Partial resection of the small intestine with peritoneal irrigation and drainage was performed. EMP was finally confirmed by postoperative histopathology and laboratory tests. Additionally, we performed a literature review of gastrointestinal EMP to obtain a deeper understanding of this disease.
CONCLUSION EMP of the small intestine may have spontaneous perforation, which requires emergency surgery. Surgical resection can obtain good therapeutic effects.
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Affiliation(s)
- Ke-Wei Wang
- Department of Gastrointestinal Surgery, The First Affiliated Hospital of China Medical University, Shenyang 110001, Liaoning Province, China
| | - Nan Xiao
- Department of Gastrointestinal Surgery, The First Affiliated Hospital of China Medical University, Shenyang 110001, Liaoning Province, China
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Glasbey JC, Arshad F, Almond LM, Vydianath B, Desai A, Gourevitch D, Ford SJ. Gastrointestinal manifestations of extramedullary plasmacytoma: a narrative review and illustrative case reports. Ann R Coll Surg Engl 2018; 100:371-376. [PMID: 29692194 DOI: 10.1308/rcsann.2018.0015] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Introduction Solitary extramedullary plasmacytoma are rare, solid-mass tumours which appear immunophenotypically similar to multiple myeloma. The diagnosis and management of gastrointestinal plasmacytoma is complex and requires multidisciplinary input. This study presents a narrative review of intra-abdominal extramedullary plasmacytoma, illustrated with two case studies. Methods The PubMed database was searched without date restrictions for reports of intra-abdominal extramedullary plasmacytoma to synthesise a narrative review. Electronic records were reviewed at a high-volume, quaternary soft-tissue sarcoma centre to identify patients with histopathologically confirmed extramedullary plasmacytoma affecting the gastrointestinal tract. Results Gastrointestinal extramedullary plasmacytomas can present with mass effect or organ-specific dysfunction. Techniques for tissue diagnosis of extramedullary plasmacytoma vary dependent on location, with a formal diagnosis often being made from a resected specimen. Management can include surgery, radiotherapy, systemic chemotherapy or a combination. No high-quality evidence base exists to guide treatment. Two case studies of operated gastrointestinal extramedullary plasmacytoma are presented at different phases of disease progression, with a resultant impact on survival. Conclusion Intra-abdominal extramedullary plasmacytoma is a rare and heterogeneous condition that lacks consensus guidelines for diagnosis and management. Collaboration between international specialist centres will create better quality evidence for treatment of this cohort.
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Affiliation(s)
- J C Glasbey
- Department of Soft Tissue Sarcoma, Queen Elizabeth Hospital , Birmingham , UK
| | - F Arshad
- Department of Soft Tissue Sarcoma, Queen Elizabeth Hospital , Birmingham , UK
| | - L M Almond
- Department of Soft Tissue Sarcoma, Queen Elizabeth Hospital , Birmingham , UK
| | - B Vydianath
- Department of Histopathology, Queen Elizabeth Hospital , Birmingham , UK
| | - A Desai
- Department of Soft Tissue Sarcoma, Queen Elizabeth Hospital , Birmingham , UK
| | - D Gourevitch
- Department of Soft Tissue Sarcoma, Queen Elizabeth Hospital , Birmingham , UK
| | - S J Ford
- Department of Soft Tissue Sarcoma, Queen Elizabeth Hospital , Birmingham , UK
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Souto Filho JTD, Lemos LVDB, Vieira Junior MC, Barboza KP, Castelar BM, Ribeiro AEL, da Silva FC. Long-term complete remission of primary gastric plasmacytoma following endoscopic resection. Ann Hematol 2017; 96:1053-1056. [PMID: 28315923 DOI: 10.1007/s00277-017-2976-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2017] [Accepted: 03/06/2017] [Indexed: 10/19/2022]
Affiliation(s)
- João Tadeu Damian Souto Filho
- Faculdade de Medicina de Campos, Campos dos Goytacazes, Rio de Janeiro, Brazil. .,Instituto Federal de Educação, Ciência e Tecnologia Fluminense, Campos dos Goytacazes, Rio de Janeiro, Brazil.
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Fukuhara S, Tazawa H, Okanobu H, Kida M, Kido M, Takafuta T, Nishida T, Ohdan H, Sakimoto H. Successful treatment of primary advanced gastric plasmacytoma using a combination of surgical resection and chemotherapy with bortezomib: A case report. Int J Surg Case Rep 2016; 27:133-136. [PMID: 27611798 PMCID: PMC5018075 DOI: 10.1016/j.ijscr.2016.08.041] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2016] [Revised: 08/25/2016] [Accepted: 08/27/2016] [Indexed: 12/22/2022] Open
Abstract
No general treatment guidelines have been established for gastricplasmacytoma. Combination therapy with chemotherapy involving bortezomib and autologous peripheral blood stem-cell transplantation after the resection could be one of the useful options for the advanced gastricplasmacytoma.
Introduction Extramedullary plasmacytoma (EMP) is a plasma cell neoplasm that presents as a solitary tumor. EMP in the gastrointestinal organs are extremely uncommon. Presentation of case A 36-year-old man was admitted to our hospital with advanced anemia. He had no specific medical history. Gastroendoscopic findings showed an 8.0-cm submucosal tumor with ulcer on the greater curvature of the gastric body. Fine-needle aspiration was performed, and the pathologic diagnosis of the submucosal tumor was a plasmacytoma. Therefore, the patient was diagnosed with gastric plasmacytoma. A total gastrectomy was performed with lymphadenectomy. The result of intraoperative peritoneal lavage cytology was positive. Histological examination revealed serosa-exposed plasmacytoma of the stomach with lymph nodes metastasis. Additionaly the patient received a three-drug chemotherapy regimen (bortezomib, cyclophosphamide, and dexamethasone [VCD]) from 3 weeks after the operation. After 4 cycles of chemotherapy, the patient received autologous peripheral blood stem-cell transplantation (auto-PBSCT). Eighteen months after diagnosis, the patient is in complete remission with no evidence of local relapse or evolution to multiple myeloma. Conclusions This is the first reported case of advanced gastric plasmacytoma using adjuvant chemotherapy involving bortezomib and auto-PBSCT after the resection, and the patient has maintained a good course over a year. This protocol could be a new way to treat these tumors.
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Affiliation(s)
- Sotaro Fukuhara
- Department of Surgery, Chugoku Rosai Hospital, 1-5-1, Tagaya, Hiro, Kure City, Hiroshima 737-0193, Japan
| | - Hirofumi Tazawa
- Department of Surgery, Chugoku Rosai Hospital, 1-5-1, Tagaya, Hiro, Kure City, Hiroshima 737-0193, Japan.
| | - Hideharu Okanobu
- Department of Internal Medicine, Chugoku Rosai Hospital, 1-5-1, Tagaya, Hiro, Kure City, Hiroshima 737-0193, Japan
| | - Michiko Kida
- Department of Hematology, National Hospital Organization Kure Medical Center, 3-1, Aoyamatyo, Kure City, Hiroshima 737-0023, Japan
| | - Miki Kido
- Department of Hematology, National Hospital Organization Kure Medical Center, 3-1, Aoyamatyo, Kure City, Hiroshima 737-0023, Japan
| | - Toshiro Takafuta
- Department of Hematology, National Hospital Organization Kure Medical Center, 3-1, Aoyamatyo, Kure City, Hiroshima 737-0023, Japan
| | - Toshihiro Nishida
- Department of Diagnostic Pathology, Chugoku Rosai Hospital, 1-5-1, Tagaya, Hiro, Kure City, Hiroshima 737-0193, Japan
| | - Hideki Ohdan
- Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan
| | - Hideto Sakimoto
- Department of Surgery, Chugoku Rosai Hospital, 1-5-1, Tagaya, Hiro, Kure City, Hiroshima 737-0193, Japan; Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan
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Chapelle N, Bouvier AM, Manfredi S, Drouillard A, Lepage C, Faivre J, Jooste V. Early Gastric Cancer: Trends in Incidence, Management, and Survival in a Well-Defined French Population. Ann Surg Oncol 2016; 23:3677-3683. [PMID: 27216743 DOI: 10.1245/s10434-016-5279-z] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2016] [Indexed: 12/15/2022]
Abstract
BACKGROUND Little is known about the epidemiology of early gastric cancer (EGC) in Western countries. The aim of this study was to analyze trends in the incidence, management, and survival of EGC in a well-defined population over a 30 year period. METHODS Data were obtained from the population-based cancer Registry of Burgundy (France). Incidence rates were calculated by sex, age, and 10 year period of diagnosis. Net survival rates were calculated and a multivariate relative survival analysis performed. RESULTS EGC represented 6.7 % of gastric cancer diagnosed between 1982 and 2011. Age-standardized incidence rates were higher in men (0.79/100,000) than in women (0.40/100,000). Between the periods 1982-1991 and 2002-2011, it decreased from 0.97 to 0.53 per 100,000 in men and from 0.44 to 0.30 per 100,000 in women. Overall, 19 % of the tumors were limited to the mucosa, 69 % to the submucosa, and 15 % invaded lymph nodes. Node invasion and male sex were the only significant prognostic factors. Five-year net survival was 50 % in node-positive patients and 85 % in node-negative patients (p < 0.001). In multivariate analysis, the relative risk of death in men compared to women was 2.3 and was 10.4 in patients with positive nodes compared to patients with negative nodes. CONCLUSIONS EGCs are rare in France. The prognosis is favorable, except for node-positive cancers, which may benefit from the recently developed adjuvant chemotherapy for gastric cancer.
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Affiliation(s)
- Nicolas Chapelle
- Registre Bourguignon des Cancers Digestifs, INSERM, LNC UMR866, Dijon, France.,Université Bourgogne Franche-Comté, LNC UMR866, Dijon, France.,CHU Dijon Bourgogne, Dijon, France
| | - Anne-Marie Bouvier
- Registre Bourguignon des Cancers Digestifs, INSERM, LNC UMR866, Dijon, France.,Université Bourgogne Franche-Comté, LNC UMR866, Dijon, France.,CHU Dijon Bourgogne, Dijon, France
| | - Sylvain Manfredi
- Registre Bourguignon des Cancers Digestifs, INSERM, LNC UMR866, Dijon, France.,Université Bourgogne Franche-Comté, LNC UMR866, Dijon, France.,CHU Dijon Bourgogne, Dijon, France
| | - Antoine Drouillard
- Registre Bourguignon des Cancers Digestifs, INSERM, LNC UMR866, Dijon, France.,Université Bourgogne Franche-Comté, LNC UMR866, Dijon, France.,CHU Dijon Bourgogne, Dijon, France
| | - Come Lepage
- Registre Bourguignon des Cancers Digestifs, INSERM, LNC UMR866, Dijon, France.,Université Bourgogne Franche-Comté, LNC UMR866, Dijon, France.,CHU Dijon Bourgogne, Dijon, France
| | - Jean Faivre
- Registre Bourguignon des Cancers Digestifs, INSERM, LNC UMR866, Dijon, France.,Université Bourgogne Franche-Comté, LNC UMR866, Dijon, France.,CHU Dijon Bourgogne, Dijon, France
| | - Valerie Jooste
- Registre Bourguignon des Cancers Digestifs, INSERM, LNC UMR866, Dijon, France. .,Université Bourgogne Franche-Comté, LNC UMR866, Dijon, France. .,CHU Dijon Bourgogne, Dijon, France.
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