A Large Mass Mimicking Calcified Hematoma of the Skull Showing Involvement of Myeloma Cells and a Good Response to Irradiation
Autor: | Masahito Kobayashi, Sachiko Hirata, Takamitsu Fujimaki, Kenji Wakiya, Naruhiko Terano |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
lcsh:Surgery Case Report 030218 nuclear medicine & medical imaging Lesion 03 medical and health sciences 0302 clinical medicine Hematoma Biopsy medicine Multiple myeloma medicine.diagnostic_test business.industry Bortezomib lcsh:RD1-811 medicine.disease Surgery Skull myeloma medicine.anatomical_structure calcified hematoma Radiology medicine.symptom Differential diagnosis business 030217 neurology & neurosurgery skull mass Calcification medicine.drug |
Zdroj: | The Surgery Journal, Vol 05, Iss 04, Pp e159-e162 (2019) The Surgery Journal |
ISSN: | 2378-5136 2378-5128 |
DOI: | 10.1055/s-0039-1697636 |
Popis: | Patients with multiple myeloma often show skull bone involvement, although in most cases this is manifested as skull erosion and large masses develop only rarely. Here we report a patient who presented with a large cranial mass mimicking a subdural hematoma with calcification. The tumor shrunk with 37.5 Gy of focal irradiation in 15 fractions after biopsy. After irradiation the patient was treated with Bortezomib but died because of adverse events. The differential diagnosis of lenticular lesion of the skull and treatment strategy for large skull mass with myeloma cells are discussed. |
Databáze: | OpenAIRE |
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