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Revista Cubana de Hematología, Inmunología y Hemoterapia
versão On-line ISSN 1561-2996
Resumo
BAZAN -RUIZ, Susy; SOMOCURCIO PERALTA, José e DEL CARPIO-JAYO, Daniel. Intracranial solitary plasmacytoma: an unusual presentation. Rev Cubana Hematol Inmunol Hemoter [online]. 2019, vol.35, n.3 Epub 30-Nov-2019. ISSN 1561-2996.
Background:
Intracranial solitary plasmacytoma is extremely rare and its location in the clivus is unusual; its clinical presentation is very varied and the diagnostic images are similar to the other tumors in skull-base.
Case presentation:
47-year-old woman with initial diagnosis of pituitary macroadenoma, attended with headache, nausea, vomiting, diplopia in the right eye and paralysis of her abducent nerve. She was reoperated by transsphenoidal endoscopic approach, concluding in solitary clivus plasmacytoma by biopsy and immunohistochemistry.
Conclusions:
Clivus is an unusual location for intracranial plasmacytoma. Early diagnosis, complete study and careful follow-up are required due to its high progression to multiple myeloma.
Palavras-chave : solitary plasmacytoma; skull-base; clivus; radiotherapy.