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Amyloidosis Localized at the Stomach, Report of a Case Masayuki Miyata 1 , Tsutomu Igarashi 1 , Reiji Kasukawa 1 , Masahiko Nakai 2 , Fuminori Yachibana 3 1The Second Department of Internal Medicine, Fukuhshima Medical Coliege 2Department of Internal Medicine, Fukushima Prefecturo Aizu Central Hospital 3Department of pathology, Fukushima Prefectural Aizu Central Hospital pp.91-95
Published Date 1986/1/25
DOI https://doi.org/10.11477/mf.1403110080
  • Abstract
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 A case of amyloidosis localized at the stomach in a 76 year-old woman who had been complaining of anorexia and abdominal fullness, was reported. Amyloid infiltration of the gastrointestinal tract has been reported frequently in primary amyloidosis, amyloidosis with multiple myeloma, secondary amyloidosis and familiar amyloidosis. But, amyloidosis localized at the stomach is very rare. The present case is believed to be only the eighth case to be presented (Table 3). Amyloid deposits in the gastric mucosa occasionally appear as polypoid masses, and can therefore mimic cancer. Amyloidosis is another process that may lead to narrowing and irregularity of the stomach, mimicking scirrhous type carcinoma. The roentgenographic picture is not very specific, and many authors pointed out the difficulty in differential diagnosis between localized gastric amyloidosis and gastric malignancy. Therefore, inaomost all of amyloidosis localized at the stomach, thediafnosis has carcinoma or been gastric malignant tumor. The roentgenographic picture of this case appears to be mimicking scirrhous type carcinoma, and we diagnosed it by biopsy following endoscopic examination (Fig.3, 4). We have followed up this case for six years, and no changes have been found in roentgenographic findings (Fig. 1, 2).


Copyright © 1986, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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