上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 病例报告 • 上一篇    

乳腺原发髓外浆细胞瘤一例报道

潘先均，张琪娟，孙荣华，苏新良   

  1. 重庆医科大学附属第一医院内分泌乳腺外科, 重庆 400016
  • 出版日期:2014-06-28 发布日期:2014-06-30
  • 通讯作者: 苏新良, 电子信箱: suxinliang@21cn.com。
  • 作者简介:潘先均（1986—）， 男， 硕士; 电子信箱: 455846336@qq.com。

Primary extramedullary plasmacytoma of the breast: a case report

PAN Xian-jun, ZHANG Qi-juan, SUN Rong-hua, SU Xin-liang   

  1. Department of Endocrine Breast Surgery， the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016
  • Online:2014-06-28 Published:2014-06-30

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摘要：

髓外浆细胞瘤（EMP）是指原发于骨髓造血组织以外的浆细胞单克隆增殖而形成的恶性肿瘤。乳腺髓外浆细胞瘤临床少见，乳腺原发髓外浆细胞瘤更罕见。本文报道1例22岁女性因左乳包块切除术后伤口反复溃烂不愈4年，最后诊断为乳腺原发髓外浆细胞瘤，正电子发射计算机断层显像（PET-CT）检查发现疑似左侧腋窝淋巴结转移，经放射治疗同步化学治疗后病情明显好转。

关键词: 乳腺肿瘤, 髓外浆细胞瘤, 多发性骨髓瘤

Abstract:

The extramedullary plasmacytoma (EMP) is a malignant tumor primarily formed by the monoclonal proliferation of plasma cells outside the marrow hematopoietic tissue. Extramedullary plasmacytoma of the breast is rare, especially primary extramedullary plasmacytoma of the breast. This paper reports a case of 22-year-old female whose wound of left-breast mass excision ulcerated repeatedly for 4 years and the patient was diagnosed as the primary extramedullary plasmacytoma of the breast. The PET/CT examination suspected the left axillary lymph node metastasis. The patient’s condition improved significantly after the radiotherapy and chemotherapy.

Key words: breast neoplasms, extramedullary plasmacytoma, multiple myeloma