老年男性孤立性髓外浆细胞瘤模拟眼表鳞状瘤:1例报告。

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Thilakraj Koppalu Lingaraju, Bijnya Birajita Panda, Madhusmita Sethy, Sri Lasya Achanta
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引用次数: 0

摘要

背景:结膜浆细胞瘤是多发性骨髓瘤的一种非常罕见的髓外表现形式,迄今仅有少数病例报道。病例总结:66岁印度裔男性多发性骨髓瘤患者,左眼有1年进行性粉红色肿块伴瘙痒病史。检查发现一粉红色结膜肿块伴毛细血管扩张延伸至颞缘,类似眼表鳞状瘤变。患者成功切除肿块并移植羊膜。切除后的组织病理学检查显示浆细胞浸润,证实多发性骨髓瘤的不寻常的髓外表现。患者随访一年,无复发迹象。结论:本病例报告强调了在鉴别诊断眼部肿块时考虑多发性骨髓瘤的重要性,特别是在有已知病史的患者中。多发性骨髓瘤患者结膜肿块的表现是罕见的,但必须认识到这种可能性,以确保及时和适当的管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Solitary extramedullary plasmacytoma mimicking ocular surface squamous neoplasia in an elderly male: A case report.

Background: Conjunctival plasmacytoma is an exceedingly uncommon form of extramedullary manifestation of multiple myeloma, with only a handful of cases reported so far.

Case summary: A 66-year-old male of Indian origin with multiple myeloma presented with a 1-year history of progressive pink mass associated with itching in his left eye. Examination revealed a pinkish conjunctival mass with telangiectasia extending up to the temporal limbus, mimicking ocular surface squamous neoplasia. The patient underwent successful excision of the mass and amniotic membrane grafting. Histopathological examination after excision revealed plasma cell infiltration, confirming an unusual extramedullary manifestation of multiple myeloma. The patient was followed up for one year, with no evidence of recurrence.

Conclusion: This case report highlights the importance of considering multiple myeloma in the differential diagnosis of ocular masses, particularly in patients with a known history of the disease. The presentation of a conjunctival mass in a patient with multiple myeloma is rare, but it is essential to recognize this possibility to ensure timely and appropriate management.

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来源期刊
World Journal of Clinical Cases
World Journal of Clinical Cases Medicine-General Medicine
自引率
0.00%
发文量
3384
期刊介绍: The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.
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