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Difficult endoscopic diagnosis of a pancreatic plasmacytoma: Case report and review of literature

A 71-year-old man, with history of plasmacytoma in relapse since one year, was hospitalized for a initial presentation of acute pancreatitis and hepatitis. Although there was a heterogeneous infiltration around the pancreas head, the diagnosis of an extramedullary localization of his plasmacytoma wa...

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Autores principales: Williet, Nicolas, Kassir, Radwan, Cuilleron, Muriel, Dumas, Olivier, Rinaldi, Leslie, Augeul-Meunier, Karine, Cottier, Michèle, Roblin, Xavier, Phelip, Jean-Marc
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5309718/
https://www.ncbi.nlm.nih.gov/pubmed/28246589
http://dx.doi.org/10.5306/wjco.v8.i1.91
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author Williet, Nicolas
Kassir, Radwan
Cuilleron, Muriel
Dumas, Olivier
Rinaldi, Leslie
Augeul-Meunier, Karine
Cottier, Michèle
Roblin, Xavier
Phelip, Jean-Marc
author_facet Williet, Nicolas
Kassir, Radwan
Cuilleron, Muriel
Dumas, Olivier
Rinaldi, Leslie
Augeul-Meunier, Karine
Cottier, Michèle
Roblin, Xavier
Phelip, Jean-Marc
author_sort Williet, Nicolas
collection PubMed
description A 71-year-old man, with history of plasmacytoma in relapse since one year, was hospitalized for a initial presentation of acute pancreatitis and hepatitis. Although there was a heterogeneous infiltration around the pancreas head, the diagnosis of an extramedullary localization of his plasmacytoma was not made until later. This delayed diagnosis was due to the lack of specific radiologic features and the lack of dilatation of biliary ducts at the admission. A diagnosis was made with a simple ultrasound guided paracentesis of the low abundance ascites after a transjugular hepatic biopsy, an endoscopic ultrasound-guided fine needle aspiration of the pancreatic mass, and a failed attempt of biliary drainage through endoscopic retrograde cholangiopancreatography. In order to document the difficulty of this diagnosis, characteristics of 63 patients suffering from this condition and diagnosis were identified and discussed through a systematic literature search.
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spelling pubmed-53097182017-02-28 Difficult endoscopic diagnosis of a pancreatic plasmacytoma: Case report and review of literature Williet, Nicolas Kassir, Radwan Cuilleron, Muriel Dumas, Olivier Rinaldi, Leslie Augeul-Meunier, Karine Cottier, Michèle Roblin, Xavier Phelip, Jean-Marc World J Clin Oncol Case Report A 71-year-old man, with history of plasmacytoma in relapse since one year, was hospitalized for a initial presentation of acute pancreatitis and hepatitis. Although there was a heterogeneous infiltration around the pancreas head, the diagnosis of an extramedullary localization of his plasmacytoma was not made until later. This delayed diagnosis was due to the lack of specific radiologic features and the lack of dilatation of biliary ducts at the admission. A diagnosis was made with a simple ultrasound guided paracentesis of the low abundance ascites after a transjugular hepatic biopsy, an endoscopic ultrasound-guided fine needle aspiration of the pancreatic mass, and a failed attempt of biliary drainage through endoscopic retrograde cholangiopancreatography. In order to document the difficulty of this diagnosis, characteristics of 63 patients suffering from this condition and diagnosis were identified and discussed through a systematic literature search. Baishideng Publishing Group Inc 2017-02-10 2017-02-10 /pmc/articles/PMC5309718/ /pubmed/28246589 http://dx.doi.org/10.5306/wjco.v8.i1.91 Text en ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Case Report
Williet, Nicolas
Kassir, Radwan
Cuilleron, Muriel
Dumas, Olivier
Rinaldi, Leslie
Augeul-Meunier, Karine
Cottier, Michèle
Roblin, Xavier
Phelip, Jean-Marc
Difficult endoscopic diagnosis of a pancreatic plasmacytoma: Case report and review of literature
title Difficult endoscopic diagnosis of a pancreatic plasmacytoma: Case report and review of literature
title_full Difficult endoscopic diagnosis of a pancreatic plasmacytoma: Case report and review of literature
title_fullStr Difficult endoscopic diagnosis of a pancreatic plasmacytoma: Case report and review of literature
title_full_unstemmed Difficult endoscopic diagnosis of a pancreatic plasmacytoma: Case report and review of literature
title_short Difficult endoscopic diagnosis of a pancreatic plasmacytoma: Case report and review of literature
title_sort difficult endoscopic diagnosis of a pancreatic plasmacytoma: case report and review of literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5309718/
https://www.ncbi.nlm.nih.gov/pubmed/28246589
http://dx.doi.org/10.5306/wjco.v8.i1.91
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