Morgenstern Peter, Pisapia David, Ramakrishna Rohan
Department of Neurological Surgery, New York-Presbyterian/Weill Cornell Medical Center.
Pathology, Weill Cornell Medical College.
Cureus. 2017 Mar 29;9(3):e1126. doi: 10.7759/cureus.1126.
Plasmacytoma of the calvarium is a well-described feature of multiple myeloma and in some cases has been reported as a solitary lesion. However, when associated with multiple myeloma these are typically identified after the initial diagnosis is made. This case is unusual in that the diagnosis of plasmacytoma was first suspected in a patient thought to have a meningioma on the day of surgery, when a magnetic resonance imaging (MRI) demonstrated spontaneous involution of the mass. Recognition of evolving changes in a calvarial or dural-based lesion should prompt the practitioner to consider alternative diagnoses other than meningioma prior to proceeding with surgical resection.
颅骨浆细胞瘤是多发性骨髓瘤的一个已被充分描述的特征，在某些情况下被报道为孤立性病变。然而，当与多发性骨髓瘤相关时，这些通常在初始诊断做出后才被识别。该病例不同寻常之处在于，在手术当天，一名原本被认为患有脑膜瘤的患者，其磁共振成像（MRI）显示肿块自发消退，此时首次怀疑为浆细胞瘤。对于颅骨或硬膜病变不断演变的变化，在进行手术切除之前，临床医生应认识到这一点，并促使其考虑除脑膜瘤之外的其他诊断。
