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Solitary Extramedullary Plasmacytoma of the Sphenoid Sinus: A Case Report
Author(s) -
Siow Ping Loong,
Ahmad Nordin Afandi,
Chee Lum,
Cheng Ai Ong
Publication year - 2015
Publication title -
indian journal of otolaryngology and head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.229
H-Index - 22
eISSN - 2231-3796
pISSN - 0973-7707
DOI - 10.1007/s12070-015-0945-1
Subject(s) - medicine , extramedullary plasmacytoma , sinus (botany) , diplopia , plasmacytoma , multiple myeloma , radiology , biopsy , otorhinolaryngology , neck mass , surgery , botany , biology , genus
Solitary extramedullary plasmacytomas are rare, discrete mass of neoplastic monoclonal plasma cells in the soft tissue with no evidence of multiple myeloma. They constitute 3 % of all plasma cell tumors and less than 1 % of head and neck malignancies. A 43 year old lady presented to our clinic with complains of diplopia and headache for 4 weeks. Computed Tomography scan showed a mass lesion in the sphenoid sinus eroding the sinus floor, right wall, basisphenoid and parasellar area. A biopsy of the mass reported as plasmacytoma. Systemic examination revealed no evidence of dissemination of the disease confirming the diagnosis of a solitary extramedullary plasmacytoma. The patient was subjected to 25 fractions of radiotherapy. Here, we report a rare case of solitary extramedullary plasmacytoma of the sphenoid sinus.

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