A Rare Case of Light Chain Amyloidosis of the Gastrointestinal Tract

Autor: Kathrin Dvir, Gliceida M. Galarza-Fortuna, Anna Willet, Christopher Febres-Aldana, Nathaly Cortez, Samuel Rapaka, Andre Coombs, Robert Goldberg, Michael Schwartz, Kfir Ben-David
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Case Reports in Surgery, Vol 2020 (2020)
Druh dokumentu: article
ISSN: 2090-6900
2090-6919
DOI: 10.1155/2020/1921805
Popis: A 65-year-old Hispanic female presented with a one-year history of anorexia, nausea, early satiety, epigastric discomfort, and a 20 kg weight loss. Computed tomography (CT) demonstrated heterogeneous liver parenchyma. Upper endoscopy revealed large, fungating, infiltrative mass at the lesser gastric curvature incisura, highly suspicious of gastric tumor; however, initial biopsy of the gastric mass was equivocal and an exploratory laparoscopy was performed. Repeated intraoperative biopsies of the gastric mass and of liver parenchyma demonstrated diffuse hyalinized stroma consistent with amyloid deposition, and a bone marrow biopsy confirmed the diagnosis of primary light chain (AL) amyloidosis.
Databáze: Directory of Open Access Journals
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje