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作者

刘志强 刘 珂 葛明旭

作者单位

山东大学医学融合与实践中心，山东 济南 北京师范大学人工智能学院，北京 山东第一医科大学附属省立医院伽马刀治疗科，山东 济南

刊名

Advances in Clinical Medicine

年份

2024

卷号

Vol.14 No.4

页码

1312-1317

ISSN

2161-8712

关键词

孤立性浆细胞瘤 孤立性骨浆细胞瘤 蝶骨 诊断 治疗 Solitary Plasmacytoma Solitary Bone Plasmacytoma Sphenoid Bone Diagnosis Treatment

摘要

Objective: This study aims to explore the clinical characteristics, diagnostic approach, and treatment strategies for intracranial solitary bone plasmacytoma. Method: A retrospective analysis of clinical data from one case of solitary plasmacytoma of the sphenoid bone was conducted, along with a review of relevant literature. Result: The patient was admitted to the hospital with a progressive proptosis of the right eyeball. Brain magnetic resonance imaging revealed a homogeneous enhancing mass i...更多

Objective: This study aims to explore the clinical characteristics, diagnostic approach, and treatment strategies for intracranial solitary bone plasmacytoma. Method: A retrospective analysis of clinical data from one case of solitary plasmacytoma of the sphenoid bone was conducted, along with a review of relevant literature. Result: The patient was admitted to the hospital with a progressive proptosis of the right eyeball. Brain magnetic resonance imaging revealed a homogeneous enhancing mass in the right sphenotemporal region, measuring approximately 5.7 × 4.1 × 7.0 cm. Postoperative pathology confirmed the diagnosis of plasmacytoma. To rule out multiple myeloma, the patient underwent comprehensive examinations, ultimately leading to the diagnosis of solitary plasmacytoma of the sphenoid bone. The patient recovered well postoperatively and received radiotherapy two weeks after discharge. At the latest follow-up, no tumor recurrence or progression was observed. Conclusion: Intracranial solitary bone plasmacytoma is a rare entity, histopathological examination and bone marrow analysis are the key to the diagnosis of this disease. The optimal choice of treatment is radiotherapy.收起

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