Zigouris Anrdeas, Drosos Dimitrios, Alexiou George A, Fotakopoulos George, Mihos Evaggelos, Pahatouridis Dimitrios, Tsiouris Spyridon, Fotopoulos Andreas D, Voulgaris Spyridon
Department of Neurosurgery, University Hospital of Ioannina, St Niarhou, Ioannina, 45500, Greece.
Cases J. 2009 Dec 7;2:9154. doi: 10.1186/1757-1626-2-9154.
We report one case of a 78-year-old woman who referred to our hospital because of a progressive right hemiparesis. On clinical examination a painless large soft mass in the left parietal region was observed. CT and MRI revealed an extra-axial mass in the in the left fronto-temporo-parietal region. The lesion was totally excised despite the bleeding tendency. Histology disclosed the presence of a plasmacytoma. Postoperative, the patient developed an epidural hematoma that required immediate evacuation. On further investigation active tuberculosis was detected. On follow up examination 1 year later no tumor recurrence or evidence of multiple myeloma was detected.
我们报告一例78岁女性患者,因进行性右侧偏瘫转诊至我院。临床检查发现左侧顶叶区域有一个无痛性大的软肿块。CT和MRI显示左侧额颞顶叶区域有一个轴外肿块。尽管有出血倾向,该病变仍被完全切除。组织学检查发现存在浆细胞瘤。术后,患者出现硬膜外血肿,需要立即进行清除。进一步检查发现活动性肺结核。1年后的随访检查未发现肿瘤复发或多发性骨髓瘤的迹象。