Micozkadioglu S D, Erkan A N, Kocer N E
Department of Otorhinolaryngology Head and Neck Surgery, Baskent University Faculty of Medicine, Ankara, Turkey.
B-ENT. 2009;5(3):169-71.
Extramedullary plasmacytoma of the head and neck is a rare neoplasm characterized by monoclonal proliferation of plasma cells. The nasal cavity and nasal septum are the most common sites of occurrence and the neoplasm can be solitary or multiple. Extramedullary plasmacytoma is associated with the initial appearance of multiple myeloma and may precede overt manifestations of systemic disease by months or years.
A seventy-year-old female presented to our clinic with a one-month history of nasal obstruction. We performed a systematic approach to diagnosis using clinical, laboratory, and radiologic investigations in order to exclude systemic involvement.
The patient was diagnosed with extramedullary plasmacytoma and the mass was excised completely via transnasal endoscopy.
Extramedullary plasmacytoma of the nasal cavity is rare and should be considered in the differential diagnosis of nasal cavity masses.
头颈部髓外浆细胞瘤是一种罕见的肿瘤，其特征为浆细胞的单克隆增殖。鼻腔和鼻中隔是最常见的发病部位，该肿瘤可为单发或多发。髓外浆细胞瘤与多发性骨髓瘤的初始表现相关，可能在系统性疾病明显表现出现前数月或数年就已存在。
一名70岁女性因鼻塞1个月前来我院就诊。我们采用临床、实验室和影像学检查进行系统的诊断方法，以排除全身受累情况。
该患者被诊断为髓外浆细胞瘤，通过经鼻内镜将肿物完全切除。
鼻腔髓外浆细胞瘤罕见，在鼻腔肿物的鉴别诊断中应予以考虑。
