Dural plasmacytoma mimicking meningioma in a patient with multiple myeloma
Makaleler > Tam Makale · 2006
Yazarlar: Fahri ŞAHİN, Güray SAYDAM, Yeşim ERTAN, Mehmet Cem ÇALLI, Ayhan DÖNMEZ, Murat TOMBULOĞLU
Journal of Clinical Neuroscience, SCI Expanded İndekslerine Giren Dergi, Uluslararası, Wos, 2006, cilt 13, ss 259-261
DOI: 10.1016/j.jocn.2005.03.033
Özet
Apart from calvarial infiltration, intracranial involvement in multiple myeloma is uncommon. Diffuse leptomeningeal invasion with or without parenchymal involvement is most common. Dural infiltration without involvement of the parenchyma, leptomeninges or skull is rare. The differential diagnosis of a dural plasmacytoma includes meningioma, which has a similar MRI appearance, metastasis, lymphoma and sarcoma of the dura mater. We present a patient with multiple myeloma presenting with an intracerebral mass mimicking a meningioma on MRI. Multiple myeloma had been diagnosed seven years previously. The patient presented with headache and speech disturbance 12 months after autologous peripheral stem cell transplantation for recurrence of multiple myeloma. MRI revealed a left temporal extra-axial mass with a dural tail mimicking meningioma. Histopathological examination of the mass after excision showed multiple myeloma immunopositive for IgG, kappa light chain and CD38. There was no recurrence after postoperative radiotherapy. Plasmacytoma should be considered in the differential diagnosis of a solitary dural mass., particularly in a patient with multiple myeloma. (c) 2006 Published by Elsevier Ltd.