| Multiple Solitary Plasmacytomas Presenting with Painful Erythematous Swelling of the Upper Eyelid. |
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Yu Jeong Kim, Mijung Chi |
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Department of Ophthalmology, Gachon University Gil Medical Center, Incheon, Korea. cmj@gilhospital.com |
| 눈꺼풀의 통증과 발적성 부종을 주소로 내원한 다발성 고립성 형질세포종 1예 |
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김유정⋅지미정 |
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가천대학교 길병원 안과학교실 |
Correspondence:
Mijung Chi,
Email: cmj@gilhospital.com
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Received: 20 October 2016 • Revised: 30 November 2016 • Accepted: 8 January 2017 |
| Abstract |
PURPOSE
To report a case of multiple solitary plasmacytomas that presented with painful erythematous swelling of the upper eyelid. The patient was diagnosed with extramedullary plasmacytoma, and was later found to have multiple metastases of the bone and soft tissue during follow up. CASE SUMMARY: A 55-year-old female patient presented with painful erythematous swelling of the left upper eyelid that persisted for 1 month prior to examination. Under suspicion of lacrimal gland inflammation, anti-inflammatory medication was started but the symptoms worsened. Orbital computed tomography showed that a mass infiltrated the left lacrimal gland. We performed incisional biopsy of the mass via eyelid crease incision. Based on histopathological examination, the mass was diagnosed as extramedullary plasmacytoma and the patient was treated with radiation. After a 10-month follow-up period, multiple metastases on the left parotid gland, thoracic spine, lumbar spine and pelvic bone were observed. Finally, we diagnosed the patient with multiple solitary plasmacytomas. CONCLUSIONS: We report the first case of multiple solitary plasmacytomas presenting with upper eyelid painful erythematous swelling. This condition should be considered for patients presenting with eyelid inflammation. In addition, long term follow up should be conducted to detect metastasis or recurrence. |
| Key Words:
Extramedullary plasmacytoma;Multiple solitary plasmacytomas;Orbital mass |
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