Open AccessExtramedullary plasmacytoma of hypopharynx treated using transoral laser microsurgery and adjuvant radiotherapy
Author(s) -
Hung Lun Chang,
PenYuan Chu
Publication year - 2020
Publication title -
journal of the chinese medical association
Language(s) - English
Resource type - Journals
eISSN - 1728-7731
pISSN - 1726-4901
DOI - 10.1097/jcma.0000000000000233
Subject(s) - medicine , plasmacytoma , microsurgery , transoral laser microsurgery , extramedullary plasmacytoma , radiation therapy , adjuvant radiotherapy , surgery , multiple myeloma , head and neck cancer
Extramedullary plasmacytoma (EMP) of the hypopharynx is exceedingly rare. There were only two cases reported before. A 77-year-old man was presented with a 6-month history of foreign body sensation in the throat. Nasopharyngoscopy revealed an exophytic tumor over the right pyriform sinus. Transoral laser microsurgery was performed 3 weeks later. The pathology report showed aggregates of plasma cells with eccentric nuclei and perinuclear halos (compatible with plasmacytoma). Postoperative radiotherapy was performed, and there was no evidence of tumor recurrence after an 18-month follow-up. This is the first report of transoral laser microsurgery with postoperative radiotherapy in plasmacytoma of hypopharynx, and it resulted in optimal tumor control and minimal morbidity.