Department of Cardiothoracic Surgery, Voelklingen Heart Centre, Voelklingen/Saar, Germany.
Med Oncol. 2010 Mar;27(1):59-61. doi: 10.1007/s12032-009-9171-6. Epub 2009 Feb 11.
We report two cases of solitary plasmacytoma of the lung. Computed tomographic scan disclosed in case A a solid tissue formation in a cystic pulmonary lesion and in case B a solitary nodule. Suggesting aspergilloma in A and pulmonary malignancy in B diagnostic thoracotomies were performed and the respective findings were resected. In both cases a diagnosis of plasmacytoma was made. Postoperatively multiple myeloma was ruled out. Solitary pulmonary plasmacytoma is a very rare condition and to the best of our knowledge plasmacytoma within a cystic lung lesion has not been described so far. After curative resection treatment the prognosis of these circumscript lesions should be excellent.
我们报告两例肺孤立性浆细胞瘤。病例 A 的胸部 CT 扫描显示囊性肺病变中有实性组织形成，病例 B 则为孤立性结节。病例 A 提示为曲菌球，病例 B 则提示为肺部恶性肿瘤。鉴于此，分别进行了诊断性开胸手术，切除了相应的病灶。两个病例均诊断为浆细胞瘤。术后排除了多发性骨髓瘤。肺孤立性浆细胞瘤非常罕见，据我们所知，囊性肺病变内的浆细胞瘤目前尚未有报道。通过根治性切除治疗，这些局限性病变的预后应该非常好。
