Lesmes Daniel, Laster Zvi
Oral and Maxillofacial Surgery Department, The Baruch Padeh Medical Center, Poriya, Israel.
Br J Oral Maxillofac Surg. 2008 Jun;46(4):322-4. doi: 10.1016/j.bjoms.2007.06.009. Epub 2007 Aug 14.
We report a case of a 64-year-old patient in whom limitation of mouth opening was the presenting symptom of plasmacytoma. Intra-oral biopsy confirmed a plasma-cell tumour, with no sign of extension on imaging. He was treated with radiotherapy (4000 cGy) and followed up. The diagnosis of solitary plasmacytoma of bone can be confirmed only when the presence of systemic disease has been excluded by clinical, biological, and radiological investigations. We think that the treatment should consist only of radiotherapy. Long-term follow-up is necessary because of the high risk of development of multiple myeloma, which may be delayed.
我们报告了一例64岁患者，其以张口受限为浆细胞瘤的首发症状。口腔内活检确诊为浆细胞瘤，影像学检查未发现扩散迹象。他接受了放射治疗（4000厘戈瑞）并进行随访。只有在通过临床、生物学和放射学检查排除全身性疾病后，才能确诊为骨孤立性浆细胞瘤。我们认为治疗仅应包括放射治疗。由于多发性骨髓瘤发生风险高且可能延迟出现，因此需要长期随访。
