Bush S E, Goffinet D R, Bagshaw M A
Radiology. 1981 Sep;140(3):801-5. doi: 10.1148/radiology.140.3.6792654.
Extramedullary plasmacytoma of the head and neck is an uncommon plasma-cell neoplasm that arises most frequently from the soft tissues of the upper airways. Ten patients with extramedullary plasmacytoma of the head and neck received primary external beam megavoltage radiotherapy with doses between 4,000 rad (40 Gy)/29 days and 6,075 rad (60.75 Gy)/42 days. In eight patients the disease was locally controlled, although distant spread of the disease subsequently developed in four of them. Observations of the patients' medical histories, their response to treatment, and patterns of relapse suggest that extramedullary plasmacytoma is a separate clinicopathologic entity from other plasma-cell tumors and is appropriately managed by local irradiation.
头颈部髓外浆细胞瘤是一种罕见的浆细胞肿瘤,最常起源于上呼吸道软组织。10名头颈部髓外浆细胞瘤患者接受了原发性体外兆伏级放疗,剂量在4000拉德(40戈瑞)/29天至6075拉德(60.75戈瑞)/42天之间。8例患者的疾病得到了局部控制,尽管其中4例随后出现了疾病的远处转移。对患者病史、治疗反应和复发模式的观察表明,髓外浆细胞瘤是一种与其他浆细胞肿瘤不同的临床病理实体,通过局部照射可得到适当治疗。