髓外浆细胞瘤（EMP）：一例表现为纵隔肿块和多发肺结节的病例报告及文献复习
Extramedullary plasmacytoma (EMP): Report of a case manifested as a mediastinal mass and multiple pulmonary nodules and review of literature.
作者信息
Luh Shi-Ping, Lai Yih-Shyong, Tsai Chung-Hong, Tsao Thomas Chang-Yao
机构信息
Department of Surgery, Chung-Shan Medical University and Chia-Yi Christian Hospital, Taichung City, Taiwan.
出版信息
World J Surg Oncol. 2007 Oct 27;5:123. doi: 10.1186/1477-7819-5-123.
Abstract
BACKGROUND
Extramedullary plasmacytoma (EMP) is a rare plasma cell neoplasm of soft tissue without bone marrow involvement or other systemic characteristics of multiple myeloma
CASE PRESENTATION
A 42 year-old woman presented with intermittent dry cough of 10 months duration. Her breathing sound was slightly coarse without rales or rhonchi on auscultation. CT scan revealed a right anterior mediastinal shadow with multiple pulmonary nodular lesions. A video-assisted thoracoscopic surgery (VATS) was performed. Histopathology showed it to be a myeloma.
CONCLUSION
This is the first presentation of EMP with a mediastinal mass with multiple pulmonary nodules.
摘要
背景
髓外浆细胞瘤（EMP）是一种罕见的软组织浆细胞肿瘤，不累及骨髓，也无多发性骨髓瘤的其他全身特征。
病例报告
一名42岁女性，出现持续10个月的间歇性干咳。听诊时呼吸音稍粗，未闻及啰音或哮鸣音。CT扫描显示右前纵隔阴影伴多个肺结节性病变。行电视辅助胸腔镜手术（VATS）。组织病理学显示为骨髓瘤。
结论
这是首例表现为纵隔肿块伴多个肺结节的EMP。
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