髓外浆细胞瘤术前诊断为胃间质瘤，可疑起源于胃周淋巴结1例

Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI:10.3919/jjsa.84.574

Haruka KUBO, Tamon MIYANAGA, Naoto NISHIDA, Toshiyuki OKUDA, Itasu NINOMIYA, Yasuharu KAIZAKI

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摘要

病例67岁，女性。虽然没有症状，但CT发现胃大弯侧有一个7cm大的肿块。调查结果显示，怀疑是GIST，实施了开腹胃局部切除术。根据组织病理学的检查结果，被诊断为髓外性性状细胞瘤，组织学上和胃没有连续性。追加检查结果为髓外性形质细胞瘤无远处转移，未进行治疗随访，术后2年3个月无复发生存中。

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A Case of Extramedullary Plasmacytoma Preoperatively Diagnosed as GIST of the Stomach with a Suspicious Origin in the Perigastric Lymph Nodes

症例は67歳，女性．症状はないものの，CTにて偶発的に胃大彎側の7cm大の腫瘤を認めた．精査の結果，GISTを疑い開腹での胃局所切除術を施行した．病理組織学的検査所見からは，髄外性形質細胞腫と診断され，組織学的には胃と連続性は認めなかった．追加検査にて遠隔転移なく髄外性形質細胞腫として無治療経過観察となり，術後2年3カ月経過し無再発生存中である．

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