- MedPix™ TF Case: 14058 ::
Topic - Dx: Plasmacytoma :: Search Icon

History

Age: 64 :: Gender: man

Patient History

64 year old man presents with nasal congestion, bilateral hearing loss and mass in throat.

Exam


Physical Exam and Laboratory

Mass in nose and throat.

Caption


:: :: ACR Code: .

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Findings


Summary of Findings

Infiltrative and destructive central skull base mass with both intra and extracranial extension. Mass is lobulated, destroys bone, and enhances following contrast administration.

Diffferential


Differential Diagnosis

• Lymphoma
• Nasopharyngeal carcinoma
• Chordoma
• Metastatic disease
• Chloroma, plasmacytoma

Diagnosis


Case Diagnosis

Dx: Plasmacytoma


Dx Confirmed by: Needle biopsy and pathological examination

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Followup


Followup and Treatment

Radiation therapy and Chemotherapy

Tools

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TF Case Contributor Credits
Submitted by: Steven J Goldstein - Author Info
Case/Image Editor: James G. Smirniotopoulos, M.D. - Editor Info
Case Accepted: 2012-01-24 05:49:18-05 :: Revised: 2012-01-23 15:40:07.97762-05 :: Submitted: 2012-01-23 15:40:07.97762-05

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