Solitary intracranial plasmacytoma: Two patients with extended follow‐up
Solitary intracranial plasmacytoma: Two patients with extended follow‐up
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孤立性颅内浆细胞瘤：两名患者的长期随访
DOI：
10.1002/ana.410110514
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发表时间：
1982
影响因子：
11.2
通讯作者：
Milton B. Kirsh
中科院分区：
文献类型：
--
作者：
A. Krumholz;H. Weiss;V. Jiji;D. Bakal;Milton B. Kirsh
浆细胞的孤立性肿瘤性增生（浆细胞瘤）很少发生在中枢神经系统。9例既往报告患者的最长随访时间为5年。我们追踪了两个颅内孤立性浆细胞瘤的病人，分别为8年和13年。在活检诊断时，两人都没有表现出邻近颅骨受累或全身性浆细胞恶液质的证据。第一个病人接受了右枕叶肿块的部分切除术，没有显示硬脑膜的大体或显微镜受累。第二个病人部分切除了一个来自硬脑膜并侵犯左颞叶的肿块。两例患者均接受术后放疗。在延长的随访期内，两例患者均未出现复发性脑肿瘤的临床或放射学体征。两名患者均没有全身性浆细胞恶液质的实验室或临床证据。孤立性颅内浆细胞瘤可能是一种“可治愈”的脑肿瘤。
Solitary neoplastic proliferation of plasma cells (plasmacytoma) rarely occurs in the central nervous system. The longest follow‐up in nine previously reported patients was 5 years. We have followed two patients with solitary intracranial plasmacytoma for 8 and 13 years, respectively. At the time of biopsy diagnosis, neither showed involvement of the adjacent calvarium or evidence of a systemic plasma cell dyscrasia. The first patient underwent partial excision of a mass in the right occipital lobe that showed no gross or microscopic involvement of the dura. The second patient had partial resection of a mass arising from dura and invading the left temporal lobe. Postoperative irradiation was given to both patients. No clinical or radiological sign of recurrent brain tumor has developed in either patient during the extended follow‐up period. Neither patient has had laboratory or clinical evidence of a systemic plasma cell dyscrasia. Solitary intracranial plasmacytoma may be a “curable” brain tumor.