A case of extramedullary plasmacytoma in the sphenoid sinus with unilateral loss of vision

作者：Ozdemir Suleyman^*; Tarkan Ozgur; Tuncer Ulku; Surmelioglu Ozgur; Dogrusoz Murat; Ergin Melek

来源：Journal of Cranio-Maxillofacial Surgery, 2013, 41(2): 140-143.

DOI：10.1016/j.jcms.2012.06.006

• Extramedullary plasmacytoma
• Sphenoid sinus
• Loss of vision

Extramedullary plasmacytomas are localized tumours formed of monoclonal plasma cells in an extra-skeletal area. They constitute approximately 3% of all neoplasms originating from plasma cells. They generally display a destructive course. When the literature in English was reviewed, only 19 cases with the primary disease localized in the sphenoid sinus were found. We present the case of a 50-year-old male patient who presented with gradually increasing visual loss over 6 weeks, whose radiological tests revealed a formation of mass in the sphenoid sinus pressing against the optic nerve and internal carotid artery. A biopsy obtained by endoscopic sinus surgery was reported to be a plasmacytoma. A diagnosis of extramedullary plasmacytoma was made after investigations for other neoplastic plasma cell conditions proved negative. Extramedullary plasmacytomas were assessed by reviewing the literature.

• 出版日期2013-3