Solitary Plasmacytoma of the Mesentery: A Systematic Clinician’s Diagnosis

Mitropoulou, Georgia; Zizi-Sermpetzoglou, Adamantia; Moschouris, Hippocrates; Kountourogiannis, Athanasios; Myoteri, Despoina; Dellaportas, Dionysios

doi:10.1155/2017/5901503

Cited by 4 publications

(5 citation statements)

References 14 publications

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“…Gastric puncture cytology could make up for the deficiency of gastroscope biopsy. [23] Bone marrow biopsy could help to identify MM. CT scan and MRI can help to find parenchymal lesions and the size and location of the lesion and the relationships with surrounding organizations.…”

Section: Discussionmentioning

confidence: 99%

Primary plasmablastic plasmacytoma in the stomach of an immunocompetent adult

Ding¹,

Tan²,

Yan

et al. 2019

Medicine

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Rationale:Extramedullary plasmacytomas (EMP) are tumors composed by a monoclonal population of plasma cells that arise in extraosseus tissues, occupying <5% of all plasma cell neoplasms. Gastrointestinal solitary extramedullary plasmacytoma is rare, just comprises about 5% of all EMPs. The most common site is small intestine. The gastric incidence is much rare and especially the plasmablastic plasmacytoma in the stomach.Patient concerns:A 65-year-old man had an epigastric discomfort and mass for about 2 months. Gastroscopy revealed a malignant tumor in the gastric body. Abdomen computed tomography (CT) showed that the gastric cavity was filled, and the irregular soft tissue shadow was seen in the greater curvature, and the enhancement was obvious. To get more tissue, we conducted stomach puncture biopsy. Pathology showed small-round cell malignant tumors. And immunohistochemical examinations revealed that the tumor tend to be a plasma cell tumor.Diagnosis:Gastric plasma cell tumor.Interventions:Distal gastrectomy was performed to treat the tumor.Outcomes:In addition to ascites caused by hypoproteinemia, there were no postoperative complications. Postoperative pathologic report showed plasmablastic plasmacytoma. Histopathologic examination of the specimen revealed plasmablastic plasmacytoma originating in the stomach with transmural extension, but without lymph node metastasis. The patient is regularly followed up at a postoperative clinic and is doing well, and at present there is no plan for adjuvant treatment.Lessons:Surgical resection is good option for gastrointestinal EMP.

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Section: Discussionmentioning

confidence: 99%

Primary plasmablastic plasmacytoma in the stomach of an immunocompetent adult

Ding¹,

Tan²,

Yan

et al. 2019

Medicine

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“…Extramedullary plasmacytoma commonly arises in the head and neck region. We did a literature search and found seven cases of solitary plasmacytoma of the mesentery[ 2 3 4 5 6 7 8 ] [ Table 1 ]. A descriptive analysis including the present case was conducted.…”

Section: Discussionmentioning

confidence: 99%

“…This is clearly reflected in our literature review with only one patient receiving radical radiation. [ 3 ] All patients underwent surgery as a part of local treatment, and a wide local excision with adequate margins seems adequate for local control in these patients.…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 ] Extramedullary plasmacytomas commonly arise in the head and neck region. The mesentery is a very rare site of solitary plasmacytoma with only about 10 cases reported in literature[ 2 3 4 5 6 7 8 ] Here we report a case of mesenteric plasmacytoma with two separate lesions in jejunal mesentery. We also present a literature review of the published cases of mesenteric plasmacytoma.…”

Section: Introductionmentioning

confidence: 99%

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Plasmacytoma of the mesentery

Thambi

Nair

Benson

2018

Journal of Postgraduate Medicine

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Extramedullary plasmacytoma represents 3%–5% of all plasma cell neoplasms. Plasmacytomas of the mesentery are extremely rare. We report the case of a 56-year-old man who presented with an abdominal mass and was diagnosed to have plasmacytoma of the mesentery. A literature review was also conducted on publications pertaining to solitary mesenteric plasmacytomas. These patients present late by which time the abdominal mass has reached a significant size. Radiation as a modality for local control has a limited role in treating mesenteric plasmacytomas. Surgery is the preferred modality for local control. Patients must be kept on a regular follow-up as there is a risk of transformation to multiple myeloma.

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“…Fine-needle aspiration cytology (FNAC) cannot find the plasma cells so it is difficult to make distinction between inflammatory and tumor cells. [ 14 ] CT scan and PET-CT can help to find parenchymal lesions and the size and location of the lesion. PET-CT can find out the position of hypermetabolism which can indicate probability of malignancy.…”

Section: Discussionmentioning

confidence: 99%

Extramedullary plasmacytoma occuring in ileocecum

et al. 2017

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Rationale:Gastrointestinal solitary extramedullary plasmacytoma (EMP) is rare, just occupies about 5% of all EMPs. The most common site is small intestine followed by stomach. The colorectal incidence is much rare.Patient concerns:A 63-year-old female had an episodic pain around the umbilicus for about one week. The hyperemia and edema in the ileocecal mucosa were found in colonoscopy, and the endoscopy could not cross the ileocecal valve. The pathology specimens showed a high index suspicion of plasmacytoma.Diagnoses:The patient was diagnosed with extramedullary plasmacytoma.Interventions:A right hemicolectomy surgery was performed to treat the disease.Outcomes:Post surgery pathologic report showed low grade malignant mucosa associated marginal zone B cell lymphoma.Lessons:We report a case of an extramedullary plasmacytoma in ileocecum with abdominal pain and a review of extramedullary plasmacytoma.

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Solitary Plasmacytoma of the Mesentery: A Systematic Clinician’s Diagnosis

Cited by 4 publications

References 14 publications

Primary plasmablastic plasmacytoma in the stomach of an immunocompetent adult

Primary plasmablastic plasmacytoma in the stomach of an immunocompetent adult

Plasmacytoma of the mesentery

Extramedullary plasmacytoma occuring in ileocecum

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