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一名年轻男性口腔髓外浆细胞瘤:病例报告

Extramedullary Plasmacytoma of the Oral Cavity in a Young Man: a Case Report.

作者信息

Gholizadeh Narges, Mehdipour Masoumeh, Rohani Bita, Esmaeili Vahid

机构信息

Dept. of Oral Medicine, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.

Dept. of Oral Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Dent (Shiraz). 2016 Jun;17(2):155-8.

Abstract

Extramedullary plasmacytomas are rare solitary soft tissue tumors that arise from proliferations of malignant transformed monoclonal plasma cells and can be diagnosed through biopsy and histopathologic examination. These lesions are closely associated with multiple myelomas, which should be ruled out in all these cases by necessary laboratory and radiographic examinations. A 25-year-old man was referred to our clinic with a rapidly-growing painless lesion measuring about 2.5×3×3 cm in the palatal side of the left maxillary second and third molar teeth. A diagnosis of solitary plasmacytoma was made on the basis of clinical, radiographic, and histopathological findings. Early diagnosis of extramedullary plasmacytomas is of great importance. Radiotherapy is the common modality of treatment with or without adjuvant chemotherapy. Progression to multiple myeloma is possible; thus, close follow-up of the patient is essential after completion of the therapeutic procedure.

摘要

髓外浆细胞瘤是罕见的孤立性软组织肿瘤,由恶性转化的单克隆浆细胞增殖形成,可通过活检和组织病理学检查确诊。这些病变与多发性骨髓瘤密切相关,所有此类病例均应通过必要的实验室和影像学检查排除多发性骨髓瘤。一名25岁男性因左侧上颌第二和第三磨牙腭侧出现一个迅速生长的无痛性肿物(大小约为2.5×3×3 cm)被转诊至我院。根据临床、影像学和组织病理学检查结果诊断为孤立性浆细胞瘤。髓外浆细胞瘤的早期诊断至关重要。放疗是常用的治疗方式,可联合或不联合辅助化疗。有可能进展为多发性骨髓瘤;因此,治疗结束后对患者进行密切随访至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31c7/4885674/e1d6035d3000/jds-17-155-g001.jpg

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