A CASE OF PLASMACYTOMA WITH A HUGE MASS AT THE PANCREAS

  • MASUDA Atsuhiro
    Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine.
  • TSUMURA Hidetaka
    Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine.
  • KUTSUMI Hiromu
    Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine.
  • TANAKA Toshio
    Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine.
  • SHIOMI Hideyuki
    Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine.
  • OKUNO Tatsuya
    Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine.
  • SANUKI Tsuyoshi
    Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine.
  • YOSHIDA Masaru
    Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine.
  • ITO Tomoo
    Division of Diagnostic Pathology, Kobe University Graduate School of Medicine.
  • AZUMA Takeshi
    Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine.

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Other Title
  • 膵頭体部に巨大腫瘤性病変を呈した膵形質細胞腫の1例

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Abstract

A huge pancreatic mass was seen on CT in a 55-year-old male, with a diameter of about 7 centimeters, and which was associated with abdominal and back pain after radiotherapy for a plasmacytoma of the left upper jaw. ERCP revealed narrowing of the main pancreatic duct and high levels of serum IgG were seen in this patient. An open biopsy was done, because it is necessary to distinguish pancreatic plasmacytoma from malignant lymphoma and autoimmune pancreatitis. Although pancreatic plasmacytoma is a rare disease, it should be considered as one of the differential diagnoses when there is a huge mass at the pancreas.

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