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原发性孤立性支气管内浆细胞瘤 1 例罕见报告

A rare case of primary solitary endobronchial plasmacytoma.

机构信息

Department of Internal Medicine, College of Medicine, Yeungnam University, Yeungnam University Medical Center, Daegu, South Korea.

Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University, Yeungnam University Medical Center, Daegu, South Korea.

出版信息

Thorac Cancer. 2021 Mar;12(6):958-961. doi: 10.1111/1759-7714.13853. Epub 2021 Jan 27.

Abstract

Extramedullary plasmacytoma (EMP) is a rare plasma cell tumor involving the organs but without bone marrow involvement or the characteristics of multiple myeloma. Primary solitary endobronchial plasmacytoma is extremely rare. Here we present the case of an 86-year-old male ex-smoker who visited our outpatient clinic for an endobronchial mass in the left upper lobe of the lung. Fiberoptic bronchoscopy revealed a protruding mass in the left upper lobar bronchus; based on the bronchoscopic biopsy findings, a primary solitary endobronchial plasmacytoma was diagnosed. After radiation therapy the patient was well and 6 months after treatment showed no evidence of disease recurrence. Extramedullary plasmacytoma should be considered in the differential diagnosis of an endobronchial mass.

摘要

髓外浆细胞瘤(EMP)是一种罕见的浆细胞瘤,涉及器官而无骨髓受累或多发性骨髓瘤的特征。原发性孤立性支气管内浆细胞瘤极为罕见。本文报告了一例 86 岁男性,曾吸烟者,因左上肺支气管内肿块就诊于我院门诊。纤维支气管镜检查显示左上叶支气管内有一突出肿块;根据支气管镜活检结果,诊断为原发性孤立性支气管内浆细胞瘤。行放射治疗后,患者情况良好,治疗后 6 个月无疾病复发证据。在鉴别诊断支气管内肿块时应考虑髓外浆细胞瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c6c/7952851/4d7d395e61f6/TCA-12-958-g002.jpg

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