Maxillary Solitary Recurrent Plasmacytoma: A Case Report
V. Ibric Cioranu, V. Petrescu Seceleanu, M. Melescanu Imre, V. Nicolae, S. Ibric CioranuClinical case, no. 5, 2013
Solitary plasmacytoma is a very rare form of neoplasia, part ofthe monoclonal gammopathies. It represents a tumoralproliferation of plasma cells in the form of a solitary masswhich can be located in the bone marrow or extramedullary.Initial symptoms are vague and nonspecific. Being such a rareaffliction, there is little information in the literature. Earlydiagnosis is difficult but very important due to therapy outcome.A high risk of progression towards a multiple myelomahas been reported. We present a rare case of a 52-year-oldpatient diagnosed with multiple solitary plasmacytomas. Thetumours were separated from one another in time, over a 14years period. The various medullograms did not show any signof medullary plasma cell infiltrate. Initially, the afflictionresponded to chemotherapy, but later the haematologistrecommended surgical resections followed by reconstruction.The maxillary localization required excision of the tumourwith the preservation of the eye bulb despite the destructionof the orbital floor and with the regain of ocular functionalityas well as aesthetic rehabilitation. This evolution highlightsthe benefits of surgical treatment in conjunction withchemotherapy in the treatment of this entity.
