頁籤選單縮合
題 名 | 鼻-鼻竇之漿細胞瘤=Sinonasal Plasmacytoma |
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作 者 | 陳鴻鑫; 李佳茹; 黎瓊柱; 蔡青劭; | 書刊名 | 臺灣耳鼻喉頭頸外科雜誌 |
卷 期 | 44:5 2009.09-10[民98.09-10] |
頁 次 | 頁155-159 |
分類號 | 416.871 |
關鍵詞 | 單一骨骼漿細胞瘤; 單一髓外漿細胞瘤; Solitary plasmacytoma of bone; Solitary extramedullary plasmacytoma; |
語 文 | 中文(Chinese) |
中文摘要 | 漿細胞瘤是因爲漿細胞不正常增生所引起的,可分爲多發性骨髓瘤、單一骨骼漿細胞瘤及單一髓外漿細胞瘤。本院於2006年經歷一例罕見發生於蝶竇和顱底斜坡,根據組織病理學與免疫組織化學染色診斷爲單一骨骼漿細胞瘤,另外於2007年有一例發生於左側鼻腔之單一髓外漿細胞瘤,兩病例皆接受手術切除,並於術後接受放射線治療。放射線治療後,若M-protein持續出現超過一年是不利的預後因子,因此建議追蹤檢查需作M-protein的檢測。另外單一骨骼漿細胞瘤有大於75%會發展爲多發性骨髓瘤,而單一髓外漿細胞瘤也有小於30%會發展爲多發性骨髓瘤,且有可能在10-36年後才轉變成多發性骨髓瘤,所以長期持續追蹤是必要的。 |
英文摘要 | Plasmacytomas are caused by the abnormal growth of plasma cells, and can be categorized into multiple myeloma, solitary plasmacytoma of bone, and solitary extramedullary plasmacytoma. In 2006, we treated a rare case of solitary plasmacytoma of bone proved by histopathologic examination and immunohistochemistry staining, located at sphenoid sinus and involving the clivus. In 2007, a case of nasal cavity solitary extramedullary plasmacytoma was treated at our hospital. Both cases received surgery and post-surgery irradiation. Other reports have shown that the presence of M-protein for more than one year after radiation therapy is a poor prognostic factor. We therefore recommend M-protein measurements to be included in the followup examinations. Furthermore, solitary plasmacytoma of bone has a more than 75% potential to develop into multiple myeloma, whereas solitary extramedullary plasmacytoma also has a less than 30% chance to develop into multiple myeloma. As the transformation into multiple myeloma may take place 10-36 years later, long-term follow-up is necessary. |
本系統中英文摘要資訊取自各篇刊載內容。