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Helicobacter pylori-negative Russell body gastritis:Case report

World Journal of Gastroenterology 2011年第9期17卷 1234-1236页

作者： Alessandro Del Gobbo Luca Elli Paola Braidotti Franca Di Nuovo Silvano Bosari Solange Romagnoli Department of Medicine Surgery and DentistryDivision of PathologyA.O.San Paolo and Fondazione IRCCS Cà-Granda Ospedale Maggiore PoliclinicoUniversity of Milan Medical School Center for Prevention and Diagnosis of Celiac Disease Fondazione IRCCS Cà-Granda Ospedale Maggiore PoliclinicoUniversity of Milan Pathology Unit A.O.G.Salvini20024 Garbagnate MilaneseItaly

Russell body gastritis is an unusual form of chronic gastritis characterized by the permeation of lamina propria by numerous plasma cells with eosinophilic cytoplasmic *** few cases have been reported in the literature;the majority of which have shown Helicobacter Pylori(***)infection,thus suggesting a correlation between plasma cell presence and antigenic stimulation by *** present a case of Russell body gastritis in a 78-year-old woman who was undergoing esophagogastroduodenoscopy for epigastric *** biopsy of the gastroesophageal junction showed the presence of cells with periodic acid-Schiff-positive hyaline pink *** staining for *** infection was nega-tive,as well as immunohistochemical *** cells with eosinophilic inclusions stained positive for CD138,CD79a,andκand lambda light chains,which confirmed plasma cell *** particular,κand lambda light chains showed a polyclonal origin and the patient was negative for immunological *** histological observations were confirmed by ultrastructural *** cases reported in the literature associated with *** infection have shown regression of plasma cells after eradication of *** is known about the progression of ***-negative *** unusual morphological appearance of this type of chronic gastritis should not be misinterpreted during routine examination,and it should be distinguished from other common forms of chronic *** is mandatory to exclude neoplastic diseases such as gastric carcinoma, lymphoma and plasmocytoma by immunohistochemistry and electron microscopy,which can help with differential *** long-term effects of plasma cells hyperactivation are still unknown,because cases of gastric tumor that originated in patients affected by Russell body gastritis have not been described in the *** are of the opinion that these patients should be scheduled for endoscopic surveillance.

关键词： Russell body Gastritis Helicobacter Pylori Plasma cells crystalline inclusions

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