Laurent F, Chausse J M, Toccanier M F, Kuffer R
Rev Stomatol Chir Maxillofac. 1985;86(1):32-5.
The authors present a case of solitary bony plasmocytoma of the mandibule, with local amyloid deposition. Diagnosis was made at extemporaneous pathological examination, then confirmed by the examination of the fixed surgical sample. Immunoenzymologically the proliferation proved to be monoclonal, with secretion of kappa light chain. The patient was treated by surgical curettage and homologous cancelous bone filling, followed by 5,500 rads of electrontherapy. He was then regularly controlled during 8 years and remained free from local recurrence. All investigations in search of dissemination (Kahler disease) remained negative.
作者报告了一例下颌骨孤立性骨浆细胞瘤,并伴有局部淀粉样沉积。诊断是在术中病理检查时做出的,随后经固定手术样本检查得以证实。免疫酶学检查显示该增殖为单克隆性,伴有κ轻链分泌。患者接受了手术刮除和同种异体松质骨填充治疗,随后进行了5500拉德的电子治疗。此后,患者接受了8年的定期检查,未出现局部复发。所有寻找播散(卡勒病)的检查结果均为阴性。