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Extramedullary plasmacytoma of the trachea: A case report and review of the literature.
Medicine (Baltimore). 2018 Jan; 97(3):e9594.M

Abstract

RATIONALE

Extramedullary plasmacytomas (EMPs) are rare solitary soft tissue tumors characterized by monoclonal proliferation of plasma cells. Most lesions occur in the head and neck, but primary tracheal lesions are very rare.

PATIENT CONCERNS

In this report, we describe a case of tracheal EMP discovered in a 48-year-old man who presented with a history of progressive dyspnea.

DIAGNOSES

Computed tomography (CT) revealed a well-defined nodular mass in the posterior wall of trachea without signs of invasion of the tracheal walls. Then, a reddish mass occluding approximately 90% of the trachea was evidenced by bronchoscopic examination.

INTERVENTIONS

The patient was treated with surgery followed by adjuvant radiotherapy to achieve better local control.

OUTCOMES

After the surgery, there was immediate symptomatic relief. There was no recurrence or metastasis during a 6-month follow-up.

LESSONS

This study presents a rare case of tracheal EMP occluding approximately 90% of the lumen that was successfully managed by surgery followed by radiotherapy.

Authors+Show Affiliations

Department of Radiation Oncology, Affiliated Hospital of Hebei University, Baoding, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

29504982

Citation

Zhang, Xi, et al. "Extramedullary Plasmacytoma of the Trachea: a Case Report and Review of the Literature." Medicine, vol. 97, no. 3, 2018, pp. e9594.
Zhang X, Su L, Ran YG, et al. Extramedullary plasmacytoma of the trachea: A case report and review of the literature. Medicine (Baltimore). 2018;97(3):e9594.
Zhang, X., Su, L., Ran, Y. G., Qie, S., Zhang, X., Liu, C., & Shi, H. Y. (2018). Extramedullary plasmacytoma of the trachea: A case report and review of the literature. Medicine, 97(3), e9594. https://doi.org/10.1097/MD.0000000000009594
Zhang X, et al. Extramedullary Plasmacytoma of the Trachea: a Case Report and Review of the Literature. Medicine (Baltimore). 2018;97(3):e9594. PubMed PMID: 29504982.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Extramedullary plasmacytoma of the trachea: A case report and review of the literature. AU - Zhang,Xi, AU - Su,Lei, AU - Ran,Yu-Ge, AU - Qie,Shuai, AU - Zhang,Xin, AU - Liu,Chan, AU - Shi,Hong-Yun, PY - 2018/3/6/entrez PY - 2018/3/6/pubmed PY - 2018/3/16/medline SP - e9594 EP - e9594 JF - Medicine JO - Medicine (Baltimore) VL - 97 IS - 3 N2 - RATIONALE: Extramedullary plasmacytomas (EMPs) are rare solitary soft tissue tumors characterized by monoclonal proliferation of plasma cells. Most lesions occur in the head and neck, but primary tracheal lesions are very rare. PATIENT CONCERNS: In this report, we describe a case of tracheal EMP discovered in a 48-year-old man who presented with a history of progressive dyspnea. DIAGNOSES: Computed tomography (CT) revealed a well-defined nodular mass in the posterior wall of trachea without signs of invasion of the tracheal walls. Then, a reddish mass occluding approximately 90% of the trachea was evidenced by bronchoscopic examination. INTERVENTIONS: The patient was treated with surgery followed by adjuvant radiotherapy to achieve better local control. OUTCOMES: After the surgery, there was immediate symptomatic relief. There was no recurrence or metastasis during a 6-month follow-up. LESSONS: This study presents a rare case of tracheal EMP occluding approximately 90% of the lumen that was successfully managed by surgery followed by radiotherapy. SN - 1536-5964 UR - https://www.unboundmedicine.com/medline/citation/29504982/Extramedullary_plasmacytoma_of_the_trachea:_A_case_report_and_review_of_the_literature_ L2 - https://doi.org/10.1097/MD.0000000000009594 DB - PRIME DP - Unbound Medicine ER -