Successful treatment of extramedullary gastric plasmacytoma with the combination of bortezomib and dexamethasone: First reported case

被引:22
作者
Katodritou, Eirini [1 ]
Kartsios, Charalambos [1 ]
Gastari, Vassiliki [1 ]
Verrou, Evgenia [1 ]
Mihou, Dimitra [1 ]
Banti, Anastasia [1 ]
Lazaraki, Georgia [1 ]
Lazaridou, Anna [1 ]
Kaloutsi, Vassiliki [1 ]
Zervas, Konstantinos [1 ]
机构
[1] Theagen Canc Ctr, Thessaloniki 54249, Greece
关键词
extramedullary gastric plasmacytoma; bortezomib; dexamethasone;
D O I
10.1016/j.leukres.2007.04.016
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We report a case of a 68-year-old man presented with upper-gastrointestinal bleeding. Endoscopy showed a large ulcerated gastric mass. Histological examination of the gastric biopsies revealed a k monoclonal extramedullary plasmacytoma (EMP). Further staging was negative for multiple myeloma. The patient was managed with bortezomib at a dose of 1.3 mg/m(2) on days 1, 4, 8 and 11 of a 21-day cycle in combination with dexamethasone 20 mg p.o. on days 1, 2, 4, 5, 8, 9 and 11, 12 of each cycle. After 4 cycles of treatment, no endoscopic or histological findings of EMP were found. Thirteen months after diagnosis the patient is in complete remission with no evidence of local relapse or evolution to multiple myeloma. This is the first reported case of EMP successfully managed with the combination of bortezomib and dexamethasone. (C) 2007 Elsevier Ltd. All rights reserved.
引用
收藏
页码:339 / 341
页数:3
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