A Case of Extramedullary Plasmacytoma in the Lacrimal Excretory System.

Lee, Seung Joon; Choi, Chang Wook; Kim, Sang Duck

doi:2015.56.3.427

J Korean Ophthalmol Soc > Volume 56(3); 2015 > Article

Case Report

Journal of the Korean Ophthalmological Society 2015;56(3):427-431.
DOI: https://doi.org/10.3341/jkos.2015.56.3.427 Published online March 15, 2015.

A Case of Extramedullary Plasmacytoma in the Lacrimal Excretory System.

Seung Joon Lee, Chang Wook Choi, Sang Duck Kim

Institute of Wonkwang Medical Science, Department of Ophthalmology, Wonkwang University School of Medicine, Iksan, Korea. sangduck@wonkwang.ac.kr

눈물배출계에 발생한 골수외 형질세포종 1예

이승준⋅최창욱⋅김상덕

원광대학교 의과대학 안과학교실 원광의과학연구소

Abstract

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.

Key Words: Extramedullary plasmacytoma;Lacrimal excretory system;Radiation therapy