눈꺼풀의 통증과 발적성 부종을 주소로 내원한 다발성 고립성 형질세포종 1예

• 영문명: Multiple Solitary Plasmacytomas Presenting with Painful Erythematous Swelling of the Upper Eyelid
• 발행기관: 대한안과학회
• 저자명: 김유정(Yu Jeong Kim) 지미정(Mijung Chi)
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume58,number2, 216~221쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2017.02.28

영문 초록

Purpose: To report a case of multiple solitary plasmacytomas that presented with painful erythematous swelling of the upper eyelid. The patient was diagnosed with extramedullary plasmacytoma, and was later found to have multiple metastases of the bone and soft tissue during follow up. Case summary: A 55-year-old female patient presented with painful erythematous swelling of the left upper eyelid that persisted for 1 month prior to examination. Under suspicion of lacrimal gland inflammation, anti-inflammatory medication was started but the symptoms worsened. Orbital computed tomography showed that a mass infiltrated the left lacrimal gland. We performed incisional biopsy of the mass via eyelid crease incision. Based on histopathological examination, the mass was diagnosed as extramedullary plasmacytoma and the patient was treated with radiation. After a 10-month follow-up period, multiple metastases on the left parotid gland, thoracic spine, lumbar spine and pelvic bone were observed. Finally, we diagnosed the patient with multiple solitary plasmacytomas. Conclusions: We report the first case of multiple solitary plasmacytomas presenting with upper eyelid painful erythematous swelling. This condition should be considered for patients presenting with eyelid inflammation. In addition, long term follow up should be conducted to detect metastasis or recurrence.

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키워드

Extramedullary plasmacytoma Multiple solitary plasmacytomas Orbital mass