Parrott L H
Kershaw Memorial Hospital, Camden, SC 29020-7003.
J S C Med Assoc. 1994 Feb;90(2):56-7.
In conclusion, this is a study of a 52-year-old white male who had the removal of a benign appearing nasal polyp with the surprising diagnosis of extramedullary plasmacytoma. The clinical course has been completely benign since surgery for over two years. This should alert physicians to the possibility that benign appearing polyps, on rare occasion, can be malignant, and particularly those polyps occurring on the septum should be carefully investigated. It happened that this patient had a plasmacytoma, and a search for the presence of multiple myeloma is warranted.
总之,这是一项关于一名52岁白人男性的研究,该患者切除了外观看似良性的鼻息肉,却意外诊断为髓外浆细胞瘤。自手术以来的两年多时间里,临床病程完全呈良性。这应提醒医生注意,外观看似良性的息肉在极少数情况下可能是恶性的,特别是那些发生在鼻中隔上的息肉应仔细检查。碰巧该患者患有浆细胞瘤,因此有必要排查是否存在多发性骨髓瘤。