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

ÖZDEMİR S., TARKAN Ö., TUNCER Ü., SÜRMELİOĞLU Ö., Dogrusoz M., ERGİN M.

JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY, vol.41, no.2, pp.140-143, 2013 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 41 Issue: 2
  • Publication Date: 2013
  • Doi Number: 10.1016/j.jcms.2012.06.006
  • Journal Name: JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.140-143
  • Keywords: Extramedullary plasmacytoma, Sphenoid sinus, Loss of vision, SOLITARY PLASMACYTOMA, MYELOMA, BONE, TUMORS, HEAD
  • Çukurova University Affiliated: Yes

Abstract

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. (C) 2012 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.