病例报告。以单侧眼球突出为表现的浆细胞瘤。
Case report. Plasmacytoma presenting as unilateral proptosis.
作者信息
Fine R S, Amjad H, Schneider J R
出版信息
Postgrad Med. 1978 Jul;64(1):178-9. doi: 10.1080/00325481.1978.11714886.
A 49-year-old man presented with proptosis of the right eye. An x-ray film of the skull showed a lytic lesion in the right frontal bone. No other skeletal lesions were found. Immunoelectrophoretic analysis showed a monoclonal elevation of IgG level. A soft orbital tumor near the foramen of the optic nerve was removed and found to be a plasmacytoma. The patient was given local irradiation. When IgG level increased about four months after surgery, he was treated with chemotherapy. IgG level decreased and no further skeletal lesions were found.
一名49岁男性因右眼突出就诊。颅骨X线片显示右额骨有溶骨性病变。未发现其他骨骼病变。免疫电泳分析显示IgG水平单克隆升高。切除视神经孔附近的眼眶软性肿瘤，发现为浆细胞瘤。患者接受了局部放疗。术后约4个月IgG水平升高时，接受了化疗。IgG水平下降，未发现进一步的骨骼病变。
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