Spontaneous Rupture of Liver Plasmacytoma Mimicking Hepatocellular Carcinoma
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概要
- 論文の詳細を見る
Extramedullary plasmacytoma of the liver is rare. Here, we report a case presenting with rupture of extramedullary plasmacytoma of the liver. She had a past history of multiple myeloma with IgA λ type. Her serum was positive for hepatitis C virus infection and exhibited elevated levels of serum protein induced by vitamin K absence or antagonist-II. She was initially diagnosed as rupture of hepatocellular carcinoma (HCC) and then treated with transarterial chemoembolization (TACE) since bloody ascites and formation of hematoma were seen around hyper-vascular liver tumors on computed tomography. However, the clinical course of this case after TACE was atypical for HCC rupture, as shown by the development of a huge intra-abdominal abscess extending from the liver tumor. Immuno-histochemical analysis of the tumor biopsy specimen revealed massive infiltration of plasma cells expressing IgA and λ chain. To our knowledge, this is the first case of rupture of extramedullary liver plasmacytoma.
- 社団法人 日本内科学会の論文
著者
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Chiba Tsutomu
Deparment Of Gastroenterology And Hepatology Kyoto University Graduate School Of Medicine
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Ichinohe Tatsuo
Department Of Hematology And Oncology Graduate School Of Medicine Kyoto University
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Ueda Yoshihide
Department Of Gastroenterological Surgery Graduate School Of Medicine Kyoto University
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Watanabe Tomohiro
Department Of Gastroenterology And Hepatology Kyoto University Graduate School Of Medicine
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Sawai Yugo
Department Of Gastroenterology Aichi Cancer Center Hospital
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Matsumura Kayoko
Department Of Gastroenterology And Hepatology Graduate School Of Medicine Kyoto University
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Tsuji Yoshihisa
Department Of Gastroenterology Kurashiki Central Hospital
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Ida Hiroshi
Department Of Diagnostic Imaging And Nuclear Medicine Graduate School Of Medicine Kyoto University
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MATSUI Hiroyuki
Department of Advanced Materials Science, University of Tokyo
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Ueda Kosuke
Department of Gastroenterology and Hepatology, Kyoto University Graduate School of Medicine
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Seki Junya
Department of Gastroenterology and Hepatology, Kyoto University Graduate School of Medicine
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Ueda Yoshihide
Department of Gastroenterology and Hepatology, Kyoto University Graduate School of Medicine
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