Oral and Maxillofacial Surgery Cases (Dec 2018)

Extramedullary plasmacytoma in the maxillofacial region: A review of the literature and case report

  • Francisco Merino,
  • Isabel Portillo Hernández,
  • Gregorio Sánchez Aniceto,
  • Claudio Ballestín

Journal volume & issue
Vol. 4, no. 4
pp. 141 – 145

Abstract

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Extramedullary Plasmacytoma is an uncommon cell dyscrasia, representing 1% of all head and neck tumours. Characteristically, EMP is a slowly growing neoplasm with pattern of growth that delays its diagnosis. Secondary to this evolution, most patients present symptoms related to the location of the mass.We present a case of EMP in the maxillofacial region in a 59 years old male, who was treated by our department.Treatment approach is generally personalized to each case. These tumours often appear in complicated anatomic locations. EMPs are radiosensitive, and radiotherapy is often used as a first-line treatment to avoid disfiguring results and potentially eliminate the need for further invasive surgical procedures, but surgery combined with Radiotherapy has demonstrated good results in preventing local recurrence.