Balayre S, Gicquel J-J, Mercie M, Dighiero P
Service d'Ophtalmologie, CHU, Poitiers.
J Fr Ophtalmol. 2004 Jan;27(1):67-71. doi: 10.1016/s0181-5512(04)96095-0.
We report the case of a 39-year-old man who consulted for severe exophthalmia with diplopia associated with chronic sinusitis evolving over 6 months. A cervicofacial CT scan showed a tumoral mass invading the maxillary and ethmoidal left sinus and orbital cavity. A biopsy of the mass and general evaluation confirmed the diagnosis of extramedullary plasmocytoma. Secondarily it transformed into multiple myeloma. In light of this case of extramedullary plasmocytoma in a young subject, we discuss the clinical characteristics, ophthalmologic manifestations, and the various therapeutic modalities according to the stage of the disease and the ocular repercussions.
我们报告了一例39岁男性患者的病例,该患者因严重眼球突出伴复视前来就诊,其与慢性鼻窦炎相关,病程长达6个月。颈部面部CT扫描显示一个肿瘤肿块侵犯了左侧上颌窦、筛窦和眼眶。对该肿块进行活检及全面评估后确诊为髓外浆细胞瘤。随后它转变为多发性骨髓瘤。鉴于该年轻患者的髓外浆细胞瘤病例,我们根据疾病分期和眼部影响讨论了其临床特征、眼科表现及各种治疗方式。