Extramedullary plasmacytoma of the trachea
| Autor: | Xi Zhang, Hong-Yun Shi, Yu-Ge Ran, Xin Zhang, Lei Su, Chan Liu, Shuai Qie |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Lumen (anatomy) trachea Metastasis 03 medical and health sciences 0302 clinical medicine Tracheal Neoplasm medicine Humans case report Clinical Case Report 030223 otorhinolaryngology business.industry Soft tissue General Medicine Middle Aged respiratory system medicine.disease Symptomatic relief Radiation therapy extramedullary plasmacytomas 030220 oncology & carcinogenesis Monoclonal Plasmacytoma Tracheal Neoplasms Radiology business Research Article |
| Zdroj: | Medicine |
| ISSN: | 0025-7974 |
| DOI: | 10.1097/md.0000000000009594 |
| Popis: | Rationale: Extramedullary plasmacytomas (EMPs) are rare solitary soft tissue tumors characterized by monoclonal proliferation of plasma cells. Most lesions occur in the head and neck, but primary tracheal lesions are very rare. Patient Concerns: In this report, we describe a case of tracheal EMP discovered in a 48-year-old man who presented with a history of progressive dyspnea. Diagnoses: Computed tomography (CT) revealed a well-defined nodular mass in the posterior wall of trachea without signs of invasion of the tracheal walls. Then, a reddish mass occluding approximately 90% of the trachea was evidenced by bronchoscopic examination. Interventions: The patient was treated with surgery followed by adjuvant radiotherapy to achieve better local control. Outcomes: After the surgery, there was immediate symptomatic relief. There was no recurrence or metastasis during a 6-month follow-up. Lessons: This study presents a rare case of tracheal EMP occluding approximately 90% of the lumen that was successfully managed by surgery followed by radiotherapy. |
| Databáze: | OpenAIRE |
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