Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Endoscopic Endonasal Transsphenoidal Resection of Solitary Extramedullary Plasmacytoma in the Sphenoid Sinus with Destruction of Skull Base

  • Park, Sung-Hoon (Department of Neurosurgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Young-Zoon (Department of Neurosurgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Lee, Eun-Hee (Department of Pathology, Masan Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Kyu-Hong (Department of Neurosurgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine)
  • Published : 2009.08.28
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Abstract

Solitary extramedullary plasmacytomas are isolated plasma cell tumors of soft tissue that typically do not metastasize. They are rare and account for 4% of all plasma cell tumors. To our knowledge, only 14 cases of solitary extramedullary plasmacytomas in the sphenoid sinus have been reported. A 32-year-old man presented to our department with complaint of ocular pain in the right eyeball and diplopia. Physical and neurological examinations revealed intact and prompt direct and indirect light reflexes in both pupils and limitation of extraocular muscle movement seen with the lateral gaze of the right eyeball. Magnetic resonance imaging suggested the presence of mucocele or mycetoma, therefore surgical resection was performed with endoscopic endonasal transsphenoidal approach. Histopathology was consistent with plasmacytoma. Systemic work-up did not show any evidence of metastasis and the sphenoid sinus was the sole tumor site, and therefore the diagnosis of solitary extramedullary plasmacytoma was confirmed. We report a rare case of solitary extramedullary plasmacytoma in the sphenoid sinus with successful treatment using the endoscopic endonasal transsphenoidal resection and adjuvant radiotherapy.

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References

  1. Alexiou C, Kau RJ, Dietzfelbinger H, Kremer M, Spiess JC,Schratzenstaller B, et al. : Extramedullary Plasmacytoma; tumoroccurrence and therapeutic concepts. Cancer 85 : 2305-2314, 1999 https://doi.org/10.1002/(SICI)1097-0142(19990601)85:11<2305::AID-CNCR2>3.0.CO;2-3
  2. Bolek TW, Marcu RB, Mendenhall NP : Solitary plasmacytoma ofbone and soft tissue. Int J Radiat Oncol Biol Phys 36 : 329-333,1996 https://doi.org/10.1016/S0360-3016(96)00334-3
  3. Brinch L, Hannisdal E, Abrahamsen AF, Kvaløy S, Langholm R :Extramedullary plasmacytomas and solitary plasma cell tumours ofbone. Eur J Haematol 44 : 132-135, 1990 https://doi.org/10.1111/j.1600-0609.1990.tb00364.x
  4. Choi WJ, Yee GT, Choi CY, Whang CJ : Huge size intracranialplasmacytoma treated with surgery and fractionated stereotacticradiotherapy. J Korean Neurosurg Soc 40 : 110-113, 2006
  5. Dimopoulos MA, Kiamouris C, Moulopoulos LA : Solitary plasmacytomaof bone and extramedullary plasmacytoma. Hematol OncolClin North Am 13 : 1249-1257, 1999 https://doi.org/10.1016/S0889-8588(05)70124-6
  6. Ewing MR, Foote FW Jr : Plasma-cell tumors of the mouth andupper air passages. Cancer 5 : 499-513, 1952 https://doi.org/10.1002/1097-0142(195205)5:3<499::AID-CNCR2820050310>3.0.CO;2-V
  7. Galieni P, Cavo M, Pulsoni A, Avvisati G, Bigazzi C, Neri S, et al. :Clinical outcome of extramedullary plasmacytoma. Haematologica85 : 47-51, 2000
  8. Gromer RC, Duvall AJ 3rd : Plasmacytoma of the head and neck. JLaryngol Otol 87 : 861-872, 1973 https://doi.org/10.1017/S0022215100077732
  9. Harris NL, Jaffe ES, Stein H, Banks PM, Chan JK, Cleary ML, et al. :A revised European-American classification of lymphoid neoplasms :a proposal from the international lymphoma study group. Blood 84 :1361-1392,1994
  10. Harwood AR, Knowling MA, Bergsagel DE : Radiotherapy ofextramedullary plasmacytoma of the head and neck. Clin Radiol 32 :31-36, 1981 https://doi.org/10.1016/S0009-9260(81)80242-5
  11. Kapadia SB, Desai U, Cheng VS : Extramedullary plasmacytoma ofthe head and neck. A clinicopthologic study of 20 cases. Medicine(Baltimore) 61 : 317-329, 1982
  12. Knowling MA, Harwood AR, Bergsagel DE : Comparison ofextramedullary plasmacytomas with solitary and multiple plasma celltumors of bone. J Clin Oncol 1 : 255-262, 1983 https://doi.org/10.1200/JCO.1983.1.4.255
  13. Kotner LM, Wang CC : Plasmacytoma of the upper air and foodpassages. Cancer 30 : 414-418, 1972 https://doi.org/10.1002/1097-0142(197208)30:2<414::AID-CNCR2820300217>3.0.CO;2-Z
  14. Liebross RH, Ha CS, Cox JD, Weber D, Delasalle K, Alexanian R :Clinical course of solitary extramedullary plasmacytoma. RadiotherOncol 52 : 245-249, 1999 https://doi.org/10.1016/S0167-8140(99)00114-0
  15. Miller FR, Lavertu P, Wanamaker JR, Bonafede J, Wood BG :Plasmacytomas of the head and neck. Otolaryngol Head Neck Surg119 : 614-618, 1998 https://doi.org/10.1016/S0194-5998(98)70021-X
  16. Schridde H : [Weitere Untersuchungern über die Koernelungen derPlasmazellen.] Zentralbl Allg Pathol Anat 6 : 433-435, 1905
  17. Shih LY, Dunn P, Leung WM, Chen WJ, Wang PN : Localisedplasmacytomas in Taiwan : comparison between extramedullaryplasmacytoma and solitary plasmacytoma of bone. Br J Cancer 71 :128-133, 1995 https://doi.org/10.1038/bjc.1995.26
  18. Soutar R, Lucraft H, Jackson G, Reece A, Bird J, Low E, et al. : Guidelineson the diagnosis and management of solitary plasmacytoma ofbone and solitary extramedullary plasmacytoma. Br J Heamatol 124 :717-726, 2004 https://doi.org/10.1111/j.1365-2141.2004.04834.x
  19. Susnerwala SS, Shanks JH, Banerjee SS, Scarffe JH, Farrington WT,Slevin NJ : Extramedullary plasmacytoma of the head and neckregion : clinicopathological correlation in 25 cases. Br J Cancer 75 :921-927, 1997 https://doi.org/10.1038/bjc.1997.162
  20. Wax MK, Yun KJ, Omar RA : Extramedullary plasmacytomas of thehead and neck. Otolaryngol Head Neck Surg 109 : 877-885, 1993 https://doi.org/10.1177/019459989310900517
  21. Weber J, Jaksche H : Solitary plasmacytoma of the pituitary area.Acta Neurochir (Wien) 141 : 219-220, 1999 https://doi.org/10.1007/s007010050291
  22. Wein RO, Popat SR, Doerr TD, Dutcher PO : Plasma cell tumorsof the skull base : four case reports and literature review. Skull Base12 : 77-86, 2002
  23. Wiltshaw E : The natural history of extramedullary plasmacytomaand its relation to solitary myeloma of bone and myelomatosis.Medicine (Baltimore) 55 : 217-238, 1976 https://doi.org/10.1097/00005792-197605000-00002

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