Abstract
Plasmacytoma is a tumor arising from plasma cell, which mainly grows within soft tissue or within axial skeleton. When it is present as a discreet solitary mass it is called as solitary plasmacytoma and it is rare. We report a case of 46 years male presented to us with the complaints of painless swelling in the left front parietal region which is about 8.6x6.5cm in diameter .Magnetic resonance imaging(MRI) revealed an extra axial mass in fronto parietal region with overlying bone destruction mimicking meningioma with bony erosion. We did fronto parietal craniectomy and complete resection of tumor with bone margin subsequent cranioplasty also done.Histopathology of which revealed plasmacytoma. After that we did urinary bence jones protein which was negative.
Highlights
On examination we found a painless mass in left frontoparietal region measuring about 8.5 x 6.4 cm in diameter which was firm in consistency, not mobile, fixed with underlying & overlying structure, on general physical examination no other abnormality detected, neurological examination was normal
On magnetic resonance venogram displayed the superior sagittal sinus is compressed by the tumor. complete blood count all are within normal range.as our initial diagnosis was may be a case of meningioma or metastasis so we did all metastatic work up eg.thyroid scan, Ultrasonography of whole abdomen and tumor marker but all were normal, He underwent craniectomy peroperative tumor was found to involve the subcutaneous tissue to bone upto dura & which was completely extradural, tumor was moderately vascular, total removal of tumor with involved bone was removed (Figure 7,8)
We went through published literature [ Table:1(4,6-12)] of patients diagnosed as a case of solitary plasmacytoma of skull received en bloc removal of tumor including cranioplasty
Summary
Bipin chaurasia 1*, Nwoshin jahan 1, Rathin Halder 1, Rajib Bhattachariya 1, kanak kanti barua 2, ATM Mosharef Hossain 2, and KM Tarikul Islam 3 . 1 Resident, MS Neurosurgery, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University. Bangladesh 2 Professor, Department of Neurosurgery, Bangabandhu Sheikh Mujib University. Bangladesh 3 Associate Professor, Department of neurosurgery, Bangabandhu Sheikh Mujib Medical University. Received date: May 15, 2019; Accepted date : June 24, 2019; Published date: July 03, 2019. Citation : Chaurasia B, Jahan N, Mosharef Hossain ATM, Bhattachariya R, Barua KK, Halder K, and KM Tarikul Islam.
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