Clin Endosc.  2024 Jan;57(1):131-133. 10.5946/ce.2022.291.

Circumferential gastric wall thickening as initial presentation of relapsed plasma cell leukemia

Affiliations
  • 1Department of Hematology, Hyogo Prefectural Amagasaki General Medical Center, Hyogo, Japan
  • 2Department of Hematology and Oncology, Graduate School of Medicine, Kyoto University, Kyoto, Japan


Figure

  • Fig. 1. Computed tomography image of the abdomen showing circumferential soft-tissue thickening of the gastric wall and a large amount of ascites.

  • Fig. 2. Endoscopic view showing thickening and stiffening of the entire stomach wall.

  • Fig. 3. Histologic findings of the endoscopic biopsy specimen. (A) Diffuse dense infiltration of atypical plasma cells (hematoxylin and eosin stain, ×100). Immunohistochemical staining was positive for CD38 (B), and shows an obvious predominance of kappa (C) compared to lambda (D) (immunohistochemical stain, ×100).


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