Extramedullary Plasmacytoma of the Nasopharynx: A Rare Tumour with 7-Year Follow Up

Authors

  • Mawaddah Azman Department of Otorhinolaryngology Head and Neck Surgery Faculty of Medicine, Universiti Kebangsaan Malaysia Kuala Lumpur, Malaysia
  • Balwant Singh Gendeh Department of Otorhinolaryngology Head and Neck Surgery Faculty of Medicine, Universiti Kebangsaan Malaysia Kuala Lumpur, Malaysia
  • Siti Aishah Mat Ali Department of Pathology Faculty of Medicine, Universiti Kebangsaan Malaysia Kuala Lumpur, Malaysia

DOI:

https://doi.org/10.32412/pjohns.v26i1.599

Keywords:

extramedullary, plasmacytoma, nasopharynx

Abstract

Objective: To report a case of extramedullary plasmacytoma, a rare localized tumour involving

the head and neck region in a 56-year -old gentleman.

 

Methods:

Design: Case Report

Setting: Tertiary University Referral Center

Patient: One

 

Result: The patient presented with a 5-month history of right-sided nasal obstruction and intermittent epistaxis in 2003. Nasal endoscopy revealed a friable, dark red mass arising from the roof of the nasopharynx, occluding the right choana. No invasion of adjacent tissues or cervical lymphadenopathy was evident. A biopsy of the mass was diagnosed as plasmacytoma. Serum and urine electrophoresis failed to detect any monoclonal bands. All other screening tests to rule out multiple myeloma were negative. These findings confirmed the diagnosis of extramedullary plasmacytoma. He recieved radiotherapy to the nasopharynx of 50 Gy for a total of 23 fractions. No recurrence was noted at 7-year follow-up.

 

Conclusion: Extramedullary plasmacytoma of the nasopharynx represents a tumour with good prognosis but requires long term follow up in anticipation of local recurrence and progression to Multiple Myeloma.

 

Keywords: extramedullary, plasmacytoma, nasopharynx

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Published

2011-06-27

How to Cite

1.
Azman M, Gendeh BS, Ali SAM. Extramedullary Plasmacytoma of the Nasopharynx: A Rare Tumour with 7-Year Follow Up. Philipp J Otolaryngol Head Neck Surg [Internet]. 2011 Jun. 27 [cited 2023 Feb. 6];26(1):27-30. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/599