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Successful treatment of a gastric plasmacytoma using a combination of endoscopic submucosal dissection and oral thalidomide.

Abstract
We report a rare case of a gastric plasmacytoma treated with endoscopic resection and oral thalidomide therapy. A 70-year-old man was admitted to our hospital with indigestion. He had no specific medical history and unremarkable laboratory results. Gastroendoscopic findings revealed a focal, erythematous, flat elevated lesion in the anterior wall of the stomach antrum. A biopsy revealed atypical lymphocytes. Endoscopic submucosal dissection (ESD) with an insulation-tipped knife was performed 45 days after diagnosis. Radiological and hematological evaluations, including a bone marrow biopsy, were performed and showed no involvement of other organs. The patient was diagnosed with extramedullary gastric plasmacytoma. Follow-up gastroendoscopy was performed three times during a 2-year period and showed nonspecific ESD scarring. The patient's condition was found to be stable.
AuthorsSe Young Park, Hee Seok Moon, Jae Kyu Seong, Hyun Yong Jeong, Beum Yong Yoon, Se Woong Hwang, Kyu Sang Song
JournalClinical endoscopy (Clin Endosc) Vol. 47 Issue 6 Pg. 564-7 (Nov 2014) ISSN: 2234-2400 [Print] Korea (South)
PMID25505724 (Publication Type: Journal Article)

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