Subglottic extramedullary plasmacytoma in a patient with multiple myeloma
DOI:
https://doi.org/10.34631/sporl.9Palavras-chave:
Extramedullary plasmacytoma, cricoid cartilage, multiple myelomaResumo
Extramedullary plasmacytoma is a rare tumor, representing approximately 5-10% of all plasma cells neoplasm. The most common location is in head and neck, and the laryngeal involvement is rare with fewer than 100 cases reported. We report the case of a 70 years old patient diagnosed with multiple myeloma in remission, who came to emergency department presenting with progressive dyspnea and stridor, secondary to a cricoid plasmacytoma. One of the problems with cricoid plasmacytomas lies in the difficulty in obtaining a representative histological sample, which may require open biopsy.
Referências
Uppal H, P. Harrison: Extramedullary plasmacytoma of the larynx presenting with upper airway obstruction in a patient with a longstanding IgD myeloma. J Laryngol Otol. September 2001;115:745-746.
Hall FT, Perez-Ordoñez B, Irish I. Multiple myeloma with an extramedullary plasmacytoma involving the subglottis. Arch Otolaryngol Head Neck Surg. 2004;130:366-368.
Fernández-Pérez AJ, Sancho-Mestre M, Gras-Albert JR, Talavera-Sánchez J. Plasmocitoma solitario de cabeza y cuello. Presentación de tres casos y revisión de la literatura. Acta Otorrinolaringol Esp 2001; 52: 715-720
BenAmmar C, Ghorbel I, Kochbati L, Gargouri W, et al. Plasmocytome solitaire extramédullaire de la tête et de cou: a propos de cinq cas. Cancer/Radiothérapie 2010;14:755-758
O ‘ Neal ML, Entel RJ. Plasmacytoma of the cricoid cartilage with airway mass effect. ORL J Otorhinolaryngol Relat Spec 2002; 64 : 373-6
Dimopoulos MA. Solitary plasmacytoma of bone and extra medullary plasmacytoma. Hematolo Oncol Clin North Am. 1999;13 (6):1249-1257
Rollins H, Levin M, Goldberg S, Mody K, et al. Otolaryngol Head Neck Surg 1995;112:754-7
Shimada T, Matsui M, Ikebushi K, Nakano H, et al. Multiple myeloma involving the thyroid cartilage. Auris Nasus larynx 2007;34:277-279
Vanan I, Redner A, Atlas M, Marin L, et al. Solitary extramedullary plasmacytoma of the vocal cord in an adolescent. J Clin Oncol. 2009;27:244-7.
