안검의 발적성 부종을 주소로 발견된 안와에 발생한 고립성 골형질세포종 1예

• 영문명: A Case of Solitary Bone Plasmacytoma Presenting with Erythematous Swelling of the Upper Eyelid
• 발행기관: 대한안과학회
• 저자명: 김국회 오동은 김윤덕,Kuk Hyoe Kim, M.D., Dong Eun Oh, M.D., Yoon Duck Kim, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume48,number5, 731~736쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2007.05.31

영문 초록

Purpose: To demonstrate a rare case of orbital solitary bone plasmacytoma that presented with erythematous swelling of the upper eyelid. Methods: A 64-year-old woman presented with a erythematous swelling of the right upper eyelid that persisted for 8 months prior to examination. There were 3 mm of proptosis in the right eye on ophthalmologic examination and an orbital tumor was detected on computed tomography (CT) scan, infiltrating the intracranial space and the sphenoid bone. Therefore, we performed incisional biopsy through the right upper eyelid. Results: Histopathologic examination revealed the tumor to be a plasmacytoma (lambda light chain-type) and all the systemic work-ups (serologic and urinary protein immunoelectrophoresis, bone marrow biopsy, radiologic examination) to rule out multiple myeloma were negative. Because of these factors, a diagnosis of solitary bone plasmacytoma was made. Radiation therapy (5,000 Gy/25 fractions) was performed over 5 weeks and the size of the tumor was found to have markedly decreased on a follow-up CT scan. Conclusions: Solitary bone plasmacytoma is rare and has variable prognoses. This condition should be considered when the presenting symptom is eyelid swelling and proptosis.

키워드

Solitary bone plasmacytoma