Subject(s)
Choristoma/diagnostic imaging , Heart Diseases/diagnostic imaging , Multimodal Imaging , Thyroid Dysgenesis/diagnostic imaging , Thyroid Gland , Aged , Aorta/diagnostic imaging , Choristoma/surgery , Heart Diseases/surgery , Humans , Incidental Findings , Magnetic Resonance Imaging, Cine , Male , Pericardium/diagnostic imaging , Predictive Value of Tests , Thyroid Dysgenesis/surgery , Tomography, X-Ray ComputedABSTRACT
BACKGROUND: Solitary plasmacytoma of the liver is a very rare and aggressive form of plasma cell dyscrasia. To the best of our knowledge, very few cases have been reported without systemic disease. We reported a rare case of hepatic solitary plasmacytoma that successfully responded to fractionated stereotactic radiotherapy. CASE PRESENTATION: A 64-year-old white French man had monoclonal gammopathy of the immune globulin G lambda type; he developed a cholestasis and cytolysis with the discovery of a subscapular nodule. A biopsy showed plasma cells and, for several reasons, the decision was made to use the fractionated stereotactic radiotherapy strategy. After 20 months, he is asymptomatic and the immune globulin G component has completely disappeared. CONCLUSION: We suggest considering Cyberknife® radiosurgery as an option for the treatment of hepatic solitary plasmacytoma.
