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題 名 | An Unusual Case of Massive Gastrointestinal Bleeding: Gastric Plasmacytoma (A Case Report)=胃漿細胞瘤併發上胃腸道大量出血--病例報告 |
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作 者 | 馮瑤; 郭澄義; 梁安億; 盧納密; 黃偉修; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 31:5 民87.09-10 |
頁 次 | 頁320-324 |
分類號 | 416.243 |
關鍵詞 | 胃漿細胞瘤; 上胃腸道大量出血; Gastric plasmacytoma; Upper gastrointestinal bleeding; Multiple myeloma; |
語 文 | 英文(English) |
中文摘要 | 一位26歲年輕人因吐血及解黑便而入院,經保守治療未能止血,因而接受了剖腹手術,術中發現多發性胃腫瘤合併大量出血及淋巴腺轉移,經接受胃全切除後十餘天順利出院。病理檢查證實為胃漿細胞瘤,術後骨髓穿刺抹片檢查更度懷疑併發多發性骨髓瘤,我們報告此一少見的臨床病例,並提出討論。 |
英文摘要 | A 26-year-old man, presented with the symptom of uncontrollable massive upper gastrointestinal bleeding. The condition was diagnosed on the basis of pathological examination of the surgical specimen, which revealed multiple tumors of variable size that were scattered over the entire stomach with lesser omental lymph node metastasis. Furthermore, specimens from the bone marrow aspiration showed that the proportion of plasma cells was slightly increased, to a rate of about 14%, and some of the plasma cells showed large nuclei and abundant cytoplasm, suggesting multiple myeloma. We report this unusual case and review of literature. |
本系統中英文摘要資訊取自各篇刊載內容。