1987 Volume 80 Issue 2 Pages 257-265
Three cases of extramedullary plasmacytoma originating in the head and neck region are reported.
Case 1 was a 50-year-old female with λ light chain-producing plasmacytoma in the right nasal cavity. Case 2 was a 70-year-old male with an IgA-λ producing plasmacytoma which recurred twice bilaterally in the nasal cavity. Case 3 was a 26-year-old female with an IgG-κ Plasmacytoma developing in the left tonsil.
In all three cases, tumor-producing immunoglobulin was immunohistochemically demonstrated in tissue by the PAP method, but not detected in the serum.
All three patients underwent surgery and irradiation. We used a contact Nd-YAG laser technique to surgically remove the tumor in case 2 and 3.
Contact Nd-YAG laser was very useful to excise tumors of the head and neck region. These three patients had no signs of local recurrence or multiple myeloma after a follow-up period of 12 to 18 months.
