Wang Min, DU Jintao, Zou Jian, Liu Shixi
Department of Otorhinolaryngology-Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R. China.
Oncol Lett. 2015 Apr;9(4):1764-1766. doi: 10.3892/ol.2015.2936. Epub 2015 Feb 5.
Extramedullary plasmacytoma (EMP) is an uncommon tumor of the plasma cells, and EMP of the cricoid cartilage is extremely rare The present study reports the rare case of a 43-year-old male complaining of hoarseness and dyspnea for over a year. Computed tomography imaging of the neck revealed an occupying lesion in the cricoid cartilage, and a diagnosis of EMP was subsequently confirmed by histopathological evaluation. The patient underwent surgery, but refused radiotherapy against medical advice. One year later, the patient was diagnosed with a recurrence of EMP via pathological examination and underwent a second surgery, however, radiotherapy was refused. After a further two years and four months, the patient presented with lumps in the neck, and was subsequently diagnosed with multiple myeloma. The patient received systematic chemotherapy in the hematology department; the patient's general condition stabilized, and no further anemia, bone pain, infection or other discomfort was experienced. Solitary plasmacytoma of the cricoid cartilage is a rare lesion and compliance with radiotherapy following surgery may provide significant benefit in the treatment of this disease.
髓外浆细胞瘤(EMP)是一种罕见的浆细胞肿瘤,环状软骨的EMP极为罕见。本研究报告了一例罕见病例,一名43岁男性,主诉声音嘶哑和呼吸困难超过一年。颈部计算机断层扫描成像显示环状软骨有占位性病变,随后通过组织病理学评估确诊为EMP。患者接受了手术,但不听从医嘱拒绝放疗。一年后,患者经病理检查诊断为EMP复发并接受了二次手术,然而,仍拒绝放疗。又过了两年零四个月,患者颈部出现肿块,随后被诊断为多发性骨髓瘤。患者在血液科接受了系统化疗;患者的一般状况稳定,未再出现贫血、骨痛、感染或其他不适。环状软骨孤立性浆细胞瘤是一种罕见病变,术后依从放疗可能对该病治疗有显著益处。