Adachi K, Murata N, Fujikawa H, Onodera T, Yazawa C, Tahara K, Kitajima T, Mizuguchi K
Dept. of Surgery, Tokyo Metropolitan Fuchu Hosp.
Gan No Rinsho. 1987 Aug;33(10):1281-6.
This case involves a 16-year-old woman with a posterior cervical tumor. Histologically, it was found to be a extramedullary plasmacytoma (EMP). Immunohistochemically, IgG was present in the plasma cells that were shown to be atypia by the PAP method. Laboratory data revealed no other abnormalities. A surgical excision of the tumor was performed with a dissection of the relevant lymph nodes. Although irradiation and chemotherapy were administered postoperatively, multiple bone metastasis was found a month after the operation, and the patient died 8 months later.
该病例为一名16岁女性，患有颈后部肿瘤。组织学检查发现为髓外浆细胞瘤（EMP）。免疫组织化学检查显示，通过PAP法检测到浆细胞中有IgG存在，且这些浆细胞表现为异型性。实验室检查数据未发现其他异常。对肿瘤进行了手术切除，并清扫了相关淋巴结。尽管术后进行了放疗和化疗，但术后一个月发现多处骨转移，患者8个月后死亡。
