단안의 안검하수를 주소로 발견된 다발성 골수종 1예

• 영문명: Multiple Myeloma Presented With Unilateral Ptosis: A Case Report
• 발행기관: 대한안과학회
• 저자명: 이민정 정호경 곽상인 양희진,Min-Joung Lee, M.D.,, Ho-Kyung Choung, M.D.,, Sang-In Khwarg, M.D.,, Hee-Jin Yang, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume46,number6, 1073~1078쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2005.06.30

영문 초록

Purpose: As orbital involvement in multiple myeloma is rare, the correct diagnosis is usually difficult. We report a case of multiple myeloma which involved the orbit, and which presented with unilateral ptosis. Methods: A 35-year-old man was referred for the evaluation of ptosis of the left eyelid for 1 month. The levator function was normal, and there was no proptosis. Orbital computerized tomography (CT) revealed an orbital mass lesion involving the superior orbital ridge with intracranial extension. Results: Excisional biopsy was performed through craniotomy and superior orbitotomy. Histopathologic examination and immunostaining result suggested a diagnosis of a plasmacytoma. The diagnosis of multiple myeloma was confirmed through bone marrow aspiration and biopsy showing diffuse infiltration of plasma cells. Conclusions: We experienced a case of multiple myeloma, which is rare in the orbit presenting unilateral ptosis. In addition, the possibility of orbital mass should be considered as an unusual cause of unilateral, acquired, progressive ptosis.

키워드

Multiple myeloma, Orbital mass, Plasmacytoma, Ptosis