Hazarika Produl, Balakrishnan R, Singh Rohit, Pujary Kailesh, Aziz Benazim
Department of ENT and Head and Neck Surgery, Kasturba Medical College, Manipal University, Manipal, Karnataka India.
Indian J Otolaryngol Head Neck Surg. 2011 Jul;63(Suppl 1):33-5. doi: 10.1007/s12070-011-0181-2. Epub 2011 Apr 3.
Less than 10% of the patients with plasma cell neoplasms present with a solitary plasmacytoma. Though the nasal cavity is a common extramedullary site, the occurrence is extremely rare. Two cases of solitary extramedullary plasmacytoma of the sinonasal region are reported. The first of which is sinonasal plasmacytoma with concomitant HIV, an association that has been reported rarely in literature to date and is matter of much debate. In the second case report, we present an instance of surgical excision of the tumor using KTP 532 laser. The diagnosis was established using immunohistochemical techniques and multiple myeloma workups were negative in all cases.
浆细胞肿瘤患者中表现为孤立性浆细胞瘤的不到10%。虽然鼻腔是常见的髓外部位,但这种情况极为罕见。本文报告了2例鼻窦区域孤立性髓外浆细胞瘤。第一例是合并HIV的鼻窦浆细胞瘤,这种关联在迄今为止的文献中报道很少,且存在诸多争议。在第二篇病例报告中,我们展示了一例使用KTP 532激光手术切除肿瘤的病例。诊断通过免疫组化技术确定,所有病例的多发性骨髓瘤检查均为阴性。