Gürbüz Mehmet Sabri, Akmil Mehmet Ufuk, Akar Ezgi, Aker Fügen Vardar
Department of Neurosurgery, Ağrı Public Hospital, Ağrı, Turkey.
BMJ Case Rep. 2013 Aug 8;2013:bcr2013200379. doi: 10.1136/bcr-2013-200379.
A 63-year-old man presented with a 4-month history of a slowly growing soft mass at his right parieto-occipital region. Neuroradiological examinations revealed an osteolytic extradural tumour of the skull vault. The outer and inner tables of the skull were partially destroyed by the tumour, but the dura was not involved. The tumour and the invaded bone were totally removed and the skull defect was reconstructed using the outer table of the adjacent intact skull. Histopathological examination confirmed plasmocytoma. Laboratory investigations revealed no systemic myelomatosis. It is very important to differentiate solitary plasmocytoma from systemic myelomatosis since their treatment and prognosis are different. Although the prognosis of solitary plasmocytoma is good, regular follow-up examinations are required for any possibility to progress to systemic myelomatosis.
一名63岁男性患者，右顶枕部有一缓慢生长的软性肿块，病史4个月。神经放射学检查显示颅骨穹窿部有一个溶骨性硬膜外肿瘤。颅骨的外板和内板部分被肿瘤破坏，但硬脑膜未受累。肿瘤及受累骨质被完全切除，颅骨缺损用相邻完整颅骨的外板进行重建。组织病理学检查证实为浆细胞瘤。实验室检查未发现系统性骨髓瘤。将孤立性浆细胞瘤与系统性骨髓瘤区分开来非常重要，因为它们的治疗方法和预后不同。虽然孤立性浆细胞瘤的预后良好，但仍需定期进行随访检查，以防进展为系统性骨髓瘤。
