A Case of Extramedullary Plasmacytoma in the Lacrimal Excretory System

Seung Joon Lee; Chang Wook Choi; Sang Duck Kim

doi:10.7469/JKOS.2015.56.03.427

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Lee, Choi, and Kim: A Case of Extramedullary Plasmacytoma in the Lacrimal Excretory System

Original Article

J Korean Ophthalmol Soc 2015;56(3):427-431.

Published online: 7 September 2015

DOI: https://doi.org/10.7469/JKOS.2015.56.03.427

A Case of Extramedullary Plasmacytoma in the Lacrimal Excretory System

Seung Joon Lee, MD, Chang Wook Choi, MD, Sang Duck Kim, MD, PhD

Institute of Wonkwang Medical Science, Department of Ophthalmology, Wonkwang University School of Medicine, Iksan, Korea

￭ Address reprint requests to Sang Duck Kim, MD, PhD Department of Ophthalmology, Wonkwang University School of Medicine & Hospital, #895 Muwang-ro, Iksan 570-711, Korea Tel: 82-1577-3773, Fax: 82-63-859-2245 E-mail: sangduck@wonkwang.ac.kr

Received 19 September 201413 November 2014 Accepted 4 February 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

초록

Purpose:

To report a case of extramedullary plasmacytoma in the lacrimal excretory system.

Case summary:

A 56-year-old female patient suffering from chronic epiphora for 1 year and having a non-tender, fixed palpable mass in the medial canthus of the eyelid visited the outpatient clinic. Orbital CT showed the non-enhancing mass was located along the right lacrimal sac and nasolacrimal duct and protruded into the nasal cavity. Biopsy was performed at the Otolaryngology Department. Based on histopathological examination, the mass was diagnosed as extramedullary plasmacytoma and the patient was treated with a total dose of 4500 cGy radiation (25 times in 1 month). After the 28-month follow-up period, the mass was not observed on Sinus CT and there was no recurrence. Additionally, no specific lesion was found during nasal endoscopy.

Conclusions:

We report a case of extramedullary plasmacytoma in the lacrimal excretory system successfully treated by radiation therapy.

Keywords: Extramedullary plasmacytoma, Lacrimal excretory system, Radiation therapy

References

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Figure 1.

Orbital MRI showing a homogenous mass in the right lacrimal excretory system. (A) Coronal view CT scan. (B) Axial view CT scan.

Figure 2.

(A) Monotonous cells having eccentrically located nu-clei, which are characteristic of plasma cell tumors. (Hematoxylin ad eosin staining ×400). (B) Tumor cells showing cytoplasmic k– light chain positivity (×400). (C) Tumor cells showing cytoplasmic λ– light chain negativity (×400).

Figure 3.

Coronal (A) and axial (B) view of the orbit CT scan after treatment. There is no mass in the right lacrimal excretory system.

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