Christ F, Boldt I, Straehler-Pohl H J
Strahlentherapie. 1982 Sep;158(9):551-7.
A report is given about ten patients with an extramedullary plasmocytoma situated in the head/neck region. The diagnostic possibilities, the spontaneous development and the effect of radiotherapy with or without surgical treatment are evaluated. Ablation and subsequent irradiation with a focal dose of at least 50 Gy offer the best changes to achieve a recovery without recurrences. In case of osseous destruction, especially if the primary tumor is localized in the maxillary sinuses, it is very difficult to attain a permanent remission. If only soft tissues, are affected, a combined surgical and radiologic treatment is possible even in case of an affection of regional lymph nodes.
本文报告了10例位于头颈部的髓外浆细胞瘤患者。对其诊断可能性、自然发展过程以及放疗联合或不联合手术治疗的效果进行了评估。采用至少50 Gy的局部剂量进行消融及后续照射,最有可能实现康复且无复发。若存在骨质破坏,尤其是原发肿瘤位于上颌窦时,很难实现永久性缓解。若仅累及软组织,即使区域淋巴结受累,也可采用手术和放射联合治疗。