Multiple myeloma with pathologically proven skull plasmacytoma after a mild head injury: Case report.
Medicine (Baltimore)
; 97(39): e12327, 2018 Sep.
Article
em En
| MEDLINE
| ID: mdl-30278508
ABSTRACT
RATIONALE MM is a malignant tumor originating from the plasma cells of the bone marrow. Central nervous system myelomatosis is very rare and may be a complication of MM. PATIENT CONCERNS A 60-year-old man presented with a slowly growing soft mass at his right frontal scalp after a mild head injury 6 months ago. DIAGNOSES Neuroradiological examinations revealed a solid intracranial-extracranial mass with an osteolytic lesion in the skull. Histopathological examination showed skull plasmacytoma, and postoperative examinations revealed multiple myeloma. INTERVENTIONS:
The tumor was completely removed and the skull defect repaired with the titanium mesh. Then, chemotherapy was initiated after surgery with bortezomib and dexamethasone.OUTCOMES:
The patient received eight chemotherapies within one year after surgery. LESSONS Despite a history of head injury, a differential diagnosis should be kept in mind during the diagnosis of solid intracranial-extracranial masses, especially in the presence of osteolytic skull at the lesioned site.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Plasmocitoma
/
Neoplasias Cranianas
/
Mieloma Múltiplo
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article