A case of extramedullary plasmacytoma with its unusual appearance is reported. This is the second reported case in world literature affecting the paranasal sinuses with intracranial extension. The role of surgery is to obtain tissue for diagnosis and to excise residual disease. Radiotherapy is the treatment of choice and long-term follow-up is necessary for monitoring disease recurrence. The overall 10-year survival is about 50%. The case is discussed with a general review of the management of this pathology.
Get full access to this article
View all access options for this article.
References
1.
WebbH.E., HarrisonE.G., MassonJ.K.Solitary extra-medullary myeloma (plasmacytoma) of the upper part of the respiratory tract and oropharynx. Cancer1962; 15: 1142–55.
2.
ChaudhuriJ.N., KhatriB.B., ChatterjiP.Plasmacytoma of the nose with intracranial extension. J Laryngol Otol1988; 102: 538–9.
3.
WiltshawE.The natural history of extramedullary plasmacytoma and its relation to solitary myeloma of bone and myelomatosis. Medicine1976; 55: 217–38.
4.
FuY.S., PerzinK.H.Nonepithelial tumors of the nasal cavity, paranasal sinuses and nasopharynx: A clinicopathologic study, IX: Plasmacytomas. Cancer1978; 42: 2399.
5.
CastroE.B., LewisJ.S., StrongE.W.Plasmacytoma of paranasal sinuses and nasal cavity. Arch Otolaryngol Head Neck Surg1973; 97: 326–9.
6.
BatsakisJ.G.Tumors of the Head and Neck, 2nd edition. Baltimore, Williams and Wilkins Co., 1979.
7.
PooleA.G., MarchettaF.C.Extramedullary plasmacytoma of the head and neck. Cancer1968; 22: 14–21.
8.
CorwinJ., LindbergR.D.Solitary plasmacytoma of bone vs. extramedullary plasmacytoma and their relationship to multiple myeloma. Cancer1979; 43: 1007–13.
