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鼻腔孤立性髓外浆细胞瘤:鼻出血的罕见病因。

Solitary extramedullary plasmacytoma of the nasal tract: an unusual cause of epistaxis.

作者信息

Sodhi Kushaljit Singh, Khandelwal Niranjan, Virmani Vivek, Das Ashim, Panda Naresh

机构信息

Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.

出版信息

Ear Nose Throat J. 2013 Jun;92(6):E51. doi: 10.1177/014556131309200624.

Abstract

Solitary extramedullary plasmacytoma is a rare hematologic malignancy with nonspecific clinical symptoms and imaging findings. We present a case of this entity that arose in the nasal tract of a 50-year-old man. The tumor was removed surgically, and the patient showed no evidence of recurrence on follow-up. We review the clinical features, imaging and histopathologic findings, and treatment of this rare disease. It is essential for otolaryngologists and head and neck surgeons to be familiar with this entity because total excision and radiation therapy for plasmacytomas can be curative in patients who have no underlying overt plasma cell dyscrasias.

摘要

孤立性髓外浆细胞瘤是一种罕见的血液系统恶性肿瘤,具有非特异性临床症状和影像学表现。我们报告一例发生在一名50岁男性鼻腔的该类肿瘤病例。肿瘤通过手术切除,患者随访时无复发迹象。我们回顾了这种罕见疾病的临床特征、影像学和组织病理学表现以及治疗方法。对于耳鼻喉科医生和头颈外科医生来说,熟悉这种疾病至关重要,因为对于没有潜在明显浆细胞发育异常的患者,浆细胞瘤的完全切除和放射治疗可能是治愈性的。

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