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泪管骨外浆细胞瘤

Extraosseous plasmacytoma of the lacrimal duct.

作者信息

Malinvaud D, Badoual C, Rubio M T, Halimi P, Bonfils P

机构信息

Department of ENT and Auditory Research Laboratory, Formation Associée Claude Bernard and CNRS UMR 8194, Hôpital Européen Georges Pompidou, Faculté de médecine Paris V, Université René Descartes, Paris, France.

出版信息

B-ENT. 2012;8(4):285-8.

PMID:23409559
Abstract

OBJECTIVE

Extraosseous plasmacytoma (EOP) is a rare plasma cell proliferative disorder that commonly affects the head and neck region. We report the first case of a plasmacytoma of the lacrimal duct.

METHODS

A 66-year-old man presented with an isolated plasmacytoma of the right lacrimal duct and was treated surgically.

RESULTS

The tumour grew slowly for a few months. CT scan and MRI showed a right lateral nasal mass extending from the right lacrimal duct toward the floor of the right maxillary sinus. The lesion was removed completely by endoscopic nasal surgery.

DISCUSSION

EOP accounts for up to 3% of all plasma cell tumours. Management of this rare lesion involves surgery and radiotherapy with or without adjuvant chemotherapy. Guided by a literature review, we discuss the diagnostic and therapeutic management of EOP.

摘要

目的

骨外浆细胞瘤(EOP)是一种罕见的浆细胞增殖性疾病,通常累及头颈部区域。我们报告首例泪管浆细胞瘤病例。

方法

一名66岁男性因孤立性右泪管浆细胞瘤就诊并接受手术治疗。

结果

肿瘤缓慢生长数月。CT扫描和MRI显示右侧鼻腔外侧有一肿块,从右泪管延伸至右上颌窦底部。通过鼻内镜手术将病变完全切除。

讨论

EOP占所有浆细胞瘤的比例高达3%。这种罕见病变的治疗包括手术和放疗,可联合或不联合辅助化疗。在文献综述的指导下,我们讨论了EOP的诊断和治疗管理。

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