Lim Calvin C Y, Soong Terrence Kwong-Weng, Chuah Khai Choon, Subrayan Visvaraja
Department of Ophthalmology, University of Malaya, Kuala Lumpur, Malaysia.
Clin Exp Optom. 2013 May;96(3):349-51. doi: 10.1111/j.1444-0938.2012.00797.x. Epub 2012 Sep 13.
Primary extramedullary plasmacytomas of the eyelid are rare with only five other cases reported in the literature. A 43-year-old Chinese man presented with painless swelling of the left lower eyelid that developed over the past two years. An incisional biopsy and histopathological analysis of the lesion revealed a primary extramedullary plasmacytoma of the eyelid. The tumour was completely excised. There has been no tumour recurrence over the last five years. This tumour should be among those considered when encountering an atypical adnexal lesion. A systemic examination, relevant clinical investigations, as well as life-long monitoring are essential for these patients due to the strong association of extramedullary plasmacytoma with multiple myeloma. When a lesion can be completely resected, surgery provides similar results to radiotherapy.
原发性眼睑髓外浆细胞瘤很罕见，文献中仅报道过另外5例。一名43岁的中国男性，其左下眼睑出现无痛性肿胀，已持续两年。对该病变进行的切开活检和组织病理学分析显示为原发性眼睑髓外浆细胞瘤。肿瘤被完全切除。在过去五年中未出现肿瘤复发。遇到非典型附件病变时，应考虑到这种肿瘤。由于髓外浆细胞瘤与多发性骨髓瘤密切相关，因此对这些患者进行全身检查、相关临床检查以及终身监测至关重要。当病变能够完全切除时，手术与放疗的效果相似。
