Journal Information
Vol. 11. Issue 4.
Pages 297-301 (January 2000)
Share
Share
Download PDF
More article options
Vol. 11. Issue 4.
Pages 297-301 (January 2000)
Plasmocitoma solitario extramedular (extraóseo) intracraneal: descripción de un nuevo caso y revisión de la literatura
Solitary extramedullary (extraosseous) intracranial plasmacytoma. Report of a new case and review of the literature
Visits
3196
O. Molina
Departamentos de Neurología, Hospital Universitario, Maracaibo, Venezuela
P. Liscano*, S. Dorfman**, D. Cardozo***, J. Cardozo***
* Departamentos de Neurocirugía, Hospital Universitario, Maracaibo, Venezuela
** Servicio de Oncología, Hospital General del Sur, Maracaibo, Venezuela
*** Cátedra de Neuroanatomía, Facultad de Medicina, Universidad del Zulia, Maracaibo, Venezuela
This item has received
Article information
Resumen

De acuerdo con algunos autores los plasmocitomas solitarios sólo constituyen un estadio en la evolución del mieloma múltiple. Sin embargo, otros afirman que estas lesiones representan entidades bien definidas las cuales responden favorablemente a la cirugía seguida de radioterapia y que acarrean un mejor pronóstico que las discrasias diseminadas de células plasmáticas. Presentamos el caso clínico de un varón de 44 años con historia de cefalea y convulsiones de dos meses de evolución en el que los estudios de neuroimágenes revelaron un tumor parietal derecho adherido a la duramadre, con apariencia de meningioma. La lesión fue extirpada quirúrgicamente y diagnosticada como plasmocitoma solitario después de descartar una neoplasia sistémica de células plasmáticas sobre la base de los resultados obtenidos en pruebas tales como determinación de proteína de Bence-Jones, aspiración y biopsia de médula ósea, examen radiológico simple y gammagrafía ósea. El paciente ha permanecido libre de tumor durante cuatro años y medio contados a partir de la extirpación quirúrgica. Se revisa la literatura relacionada con lesiones similares.

Palabras clave:
Intracraneal
Meningioma
Mieloma
Plasmocitoma
Solitario
Summary

According to different authors, solitary plasmacytomas merely constitute a stage in the development of multiple myeloma, whereas other investigators state that these lesions are well-defined entities that respond favorably to surgery followed by radiation therapy and carry a much better prognosis than disseminated myelomas. We present the case of a 44 year-old man with a chief complaint of headaches and tonic-clonic seizures present for two months prior to admission. Neuroimaging studies revealed a right parietal tumor attached to the duramater suggesting meningioma. The lesion was surgically removed and it was diagnosed as solitary plasmacytoma following laboratory tests that ruled out systemic plasma cell dyscrasia. The patient has remained tumor-free for 4,5 years after surgery.

The medical literatu re concerning similar lesions is reviewed.

Key words:
Intracranial
Meningioma
Myeloma
Plasmacytoma
Solitary

Article

These are the options to access the full texts of the publication Neurocirugía (English edition)
Member
Member of the Sociedad Española de Neurocirugía

If it is the first time you have accessed you can obtain your credentials by contacting Elsevier Spain in suscripciones@elsevier.com or by calling our Customer Service at902 88 87 40 if you are calling from Spain or at +34 932 418 800 (from 9 to 18h., GMT + 1) if you are calling outside of Spain.

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option ¿I have forgotten my password¿.

Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Neurocirugía (English edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Neurocirugía (English edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?