Ladha Shafeeq S, Dyck P James B, Spinner Robert J, Perez Domingo G, Zeldenrust Steven R, Amrami Kimberly K, Solomon Alan, Klein Christopher J
Department of Neurology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
J Peripher Nerv Syst. 2006 Dec;11(4):346-52. doi: 10.1111/j.1529-8027.2006.00107.x.
In this study, we present two cases of infiltrative, localized amyloidosis involving lumbosacral root and plexus, e.g., isolated amyloidomas. Rare and poorly understood amyloidomas may occur in both neurologic and non-neurologic tissues. The described cases emphasize potential for localized peripheral amyloidomas: (1) potential for associated lambda light chain lymphoplasmacytic lymphoma association; (2) e isolated amyloidosis without evidence for systemic plasma cell dyscrasia; (3) features suggestive of potential pathogenesis; and (4) discussion of treatment options including immunotherapy and resection. The limited literature and experience among other cases is described.
在本研究中,我们报告了两例浸润性局限性淀粉样变性病例,病变累及腰骶神经根和神经丛,即孤立性淀粉样瘤。罕见且了解甚少的淀粉样瘤可发生于神经组织和非神经组织。所描述的病例强调了局限性外周淀粉样瘤的可能性:(1)与λ轻链淋巴浆细胞淋巴瘤相关的可能性;(2)无系统性浆细胞异常证据的孤立性淀粉样变性;(3)提示潜在发病机制的特征;(4)包括免疫治疗和手术切除在内的治疗选择讨论。还描述了其他病例的有限文献和经验。