Evidence map›Paper›PMID 41939445›Full record

ArticleFrontiers in oncology2026

Multiple myeloma associated with secondary plasma cell leukemia, gastric mucosal extramedullary plasmacytic infiltration, and concurrent moderately differentiated papillary adenocarcinoma: a case report.

Lulu Li, Wei Zheng, Minmin Yu, Jie Xu, Shumei Bai, Yueli Liu, Yan Wang, Siyuan Cui

Abstract readCase Reports
In one paragraph

Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lulu LiThe First Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, China.
Wei ZhengAffiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.
Minmin YuAffiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.
Jie XuAffiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.
Shumei BaiAffiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.
Yueli LiuAffiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.
Yan WangAffiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.
Siyuan CuiAffiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a case of IgG λ-type multiple myeloma (MM) in a patient who received multiple lines of therapy and achieved repeated remissions. In 2025, the patient experienced a third relapse and had been exposed to proteasome inhibitors (PIs), immunomodulatory drugs (IMiDs), and anti-CD38 monoclonal antibodies (mAbs), meeting the criteria for triple-refractory disease. At relapse, the patient presented with fatigue and progressive anemia, and peripheral blood smear examination revealed approximately 14% atypical plasma cells, fulfilling the diagnostic criteria for secondary plasma cell leukemia (sPCL). Treatment with the KXD regimen (carfilzomib, cyclophosphamide, dexamethasone) resulted in transient disease stabilization for approximately two months, followed by further progression. During the disease course, the patient developed upper abdominal discomfort. Gastroscopy revealed a focal lesion at the gastric angle, and endoscopic submucosal dissection (ESD) was subsequently performed. Histopathological examination demonstrated a moderately differentiated intramucosal papillary adenocarcinoma of the gastric angle, with tumor infiltration confined to the mucosal layer and negative resection margins. In addition, infiltration of CD138-positive plasma cell-like tumor cells with λ light chain restriction was observed in the gastric lamina propria, consistent with extramedullary disease (EMD). The final diagnosis was relapsed MM complicated by sPCL, gastric mucosal extramedullary plasmacytic infiltration, and synchronous moderately differentiated intramucosal papillary adenocarcinoma.

Indexed as

case reportextramedullary diseasegastric adenocarcinomamultiple myelomasecondary plasma cell leukemia

Identifiers

PMID41939445
PMCPMC13043348

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