Computed tomography findings of a solitary extramedullary plasmacytoma of the spleen: A case report and literature review
- Authors:
- Ying Wang
- Li Yang
- Zi-Hua Qian
- Xiu-Liang Zhu
- Ri-Sheng Yu
View Affiliations
Affiliations: Department of Radiology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, P.R. China
- Published online on: November 7, 2014 https://doi.org/10.3892/ol.2014.2691
-
Pages:
219-222
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Abstract
Solitary extramedullary plasmacytoma (EMP) of the spleen is a rare condition. The present study describes the case of a 23‑year‑old female with an extremely rare solitary EMP of the spleen. Upon examination, the tumor demonstrated unusual and notable multiple‑phase spiral computed tomography (CT) findings. The lesion was a solitary, well‑defined mass, with areas of variable splenic necrosis and cystic degeneration. Contrast‑enhanced CT revealed progressive enhancement of the lesion in the cystic wall, internal septa and solid portion, a finding that has not previously been described. The patient underwent a splenectomy and recovered without complications. No evidence of tumor recurrence has occurred during the past two years of follow-up. To the best of our knowledge, this is the first study to examine the CT findings of a solitary EMP of the spleen. The study aimed to investigate the imaging features of solitary EMP, in particular the multiple‑phase spiral CT findings, and raise awareness of the disease to reduce misdiagnoses.
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