Sfenoid sinüs multipl miyelomu: Olgu sunumu

Baş-boyun bölgesi plazma hücreli neoplazmları ke- miğin ekstramedüller plazmositomu, kemiğin soliter plazmositomu veya multipl miyelomun lokal tutulu- mu olabilir. Dört gündür çift görme yakınmasıyla baş- vuran 70 yaşında erkek hasta kliniğimizde değerlen- dirildi. Hastanın manyetik rezonans görüntülemesin- de sfenoid sinüste yumuşak doku kitlesi saptandı. Biyopsi sonucu multipl miyelom tanısı kondu. Multip- le miyeloma yönelik tıbbi tedavi uygulanan hasta bir yıl sonra kaybedildi

Multiple myeloma of the sphenoid sinüs: a case report

Plasma celi neoplasms of the head and neck region can be extramedullary plasmacytoma of the bone, solitary plasmacytoma of the bone, and local manifes- tations of multiple myeloma. A 70-year-old male patient was admitted to our hospital with diplopia of four-day history. Magnetic resonance imaging showed soft tissue in the sphenoid sinüs. Endoscopic biopsy was taken from the sphenoid sinüs, which revealed multiple myeloma. Despite medical therapy for multi­ ple myeloma, the patient died after a year.

___

  • Lawson W, Reino AJ. Isolated sphenoid sinus disease: an analysis of 132 cases. Laryngoscope 1997;107:1590-5.
  • Bachmeyer C, Levy V, Carteret M, Laccourreye O, Danel C, Le Tourneau A, et al. Sphenoid sinus local- ization of multiple myeloma revealing evolution from benign gammopathy. Head Neck 1997;19:347-50.
  • Batsakis JG. Pathology consultation. Plasma cell tumors of the head and neck. Ann Otol Rhinol Laryngol 1983;92:311-3.
  • Cakmak O, Shohet MR, Kern EB. Isolated sphenoid sinus lesions. Am J Rhinol 2000;14:13-9.
  • Levine H. The sphenoid sinus, the neglected nasal sinus. Arch Otolaryngol 1978;104:585-7.
  • Cakmak O, Ergin NT, Aydin MV. Isolated sphenoid sinus adenocarcinoma: a case report. Eur Arch Otorhinolaryngol 2002;259:266-8.
  • Wax MK, Yun KJ, Omar RA. Extramedullary plasma- cytomas of the head and neck. Otolaryngol Head Neck Surg 1993;109:877-85.
  • Nofsinger YC, Mirza N, Rowan PT, Lanza D, Weinstein G. Head and neck manifestations of plasma cell neoplasms. Laryngoscope 1997;107:741-6.
  • Gonzalez JB, Gonzalez FB, Munoz Herrera A, Nieto Garcia A, Antunez Plaza P, Perez Plasencia D, et al. Extramedullary plasmacytoma of the head and neck. Report of 3 clinical cases. An Otorrinolaringol Ibero Am 2003;30:501-11. [Abstract]