Extramedullary plasmacytoma of the jejunum

Intern Med. 1996 May;35(5):422-6. doi: 10.2169/internalmedicine.35.422.

Abstract

A case of extramedullary plasmacytoma (EMP) of the jejunum, an uncommon neoplasia, is reported. A 56-year-old Japanese woman who experienced intermittent upper abdominal pain and weight loss had a large movable mass in the upper abdomen. The mass was hypervascular in an angiographic study and positive for gallium-67 citrate scintigraphy. Immunoelectrophoresis showed the presence of an M-component of immunoglobulin (Ig) A-lambda in the serum. It was identified as an EMP immunohistochemically positive for IgA-lambda. This M-component disappeared after resection and chemotherapy. The clinical features of this rare neoplastic disorder are discussed.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Female
  • Humans
  • Immunoglobulin A / blood
  • Immunoglobulin lambda-Chains / blood
  • Jejunal Neoplasms* / blood
  • Jejunal Neoplasms* / diagnosis
  • Jejunal Neoplasms* / drug therapy
  • Jejunal Neoplasms* / surgery
  • Melphalan / administration & dosage
  • Middle Aged
  • Paraproteins / analysis
  • Plasmacytoma* / blood
  • Plasmacytoma* / diagnosis
  • Plasmacytoma* / drug therapy
  • Plasmacytoma* / surgery
  • Prednisolone / administration & dosage

Substances

  • Immunoglobulin A
  • Immunoglobulin lambda-Chains
  • Paraproteins
  • Prednisolone
  • Melphalan