López-Elizalde R, Lemus-Rodríguez Y, Godínez-Rubí M, Madrigal-Saray A, Muñoz-Serrano JA, Velásquez-Santana H

Language: Spanish
References: 11
Page: 431-435
PDF size: 242.14 Kb.

ABSTRACT

Background: Multiple myeloma is a plasmatic cell neoplasm that is characterized by skeletal destruction, renal failure, anemia and hypercalcemia. The skull plasmacytomas represent less than 1% of the head and neck tumors, they can be the primary lesion or occur as a secondary manifestation of multiple myeloma in 20-30% of the patients, or they can even manifest several years later after the diagnosis of plasmacytoma. Although some of the lesions may be surgically accessible, the aggressive natural behavior will complicate the evolution of the patients. We present two cases of Mexican women with intracranial plasmacytomas, one of them associated with multiple myeloma.
Clinical cases: The first case was a 24 year-old woman diagnosed with a multiple myeloma with plasmacytic-plasmablastic bone infiltration that was removed in 90%. She presented a local recurrence that required a second intervention for removal. The second case was a 62 year-old female with a malignant intracranial tumor of plasma cells that was totally resected. Both patients received adjuvant treatment based on chemotherapy and radiation therapy with favorable results. The patients died at 5 and 1.5 years respectively due to renal failure secondary to systemic disease.
Conclusions: We propose the chemotherapy and radiation therapy as an essential part of treatment for this condition, as their aggressive behavior can complicate the evolution, despite being surgically accessible.

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