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Vol. 45. Issue 11.
Pages 564-566 (November 2009)
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Vol. 45. Issue 11.
Pages 564-566 (November 2009)
Case report
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Three Cases of Primary Pulmonary Plasmacytoma
Plasmocitoma pulmonar primario: aportación de 3 casos
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Carmen Montero
Corresponding author
, Ana Souto, Iria Vidal, María del Mar Fernández, Marina Blanco, Héctor Verea
Servicio de Neumología, Complejo Hospitalario Universitario, A Coruña, Spain
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Abstract

Extramedullary plasmacytoma is a plasma cell malignancy that most commonly occurs in the upper respiratory tract. Plasmocytoma located in the lung is an unusual finding, and in such cases the disease may be confined to the lung and regional lymph nodes or may be disseminated. When only located in the lower respiratory tract (primary pulmonary plasmacytoma), diagnosis is difficult and is usually based on the excised tissue. We present 3 cases, 2 of which were particularly unusual in that diagnosis was confirmed by bronchial biopsy. Other important findings included the detection of paraprotein in the blood and urine of 2 of the patients, and follow-ups over 10 and 15 years without recurrence of the disease in 2 of the cases.

Keywords:
Primary pulmonary plasmacytoma
Extramedullary plasmacytoma
Plasmacytoma
Resumen

El plasmocitoma extramedular es un tumor de células plasmáticas que es más frecuente en el aparato respiratorio superior. La localización pulmonar es rara y puede presentarse como enfermedad limitada al pulmón y ganglios regionales, o bien como enfermedad diseminada. Cuando se localiza sólo en el aparato respiratorio inferior (plasmocitoma pulmonar primario), el diagnóstico es difícil y generalmente se realiza en la pieza quirúrgica. Aportamos 3 casos, con la peculiaridad en 2 de ellos de que el diagnóstico se confirmó mediante biopsia bronquial. Otros datos relevantes son la presencia de paraproteína en sangre y orina en 2 de los casos, y el seguimiento durante 10 y 15 años sin recidiva de la enfermedad.

Palabras clave:
Plasmocitoma pulmonar primario
Plasmocitoma extramedular
Plasmocitoma
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Copyright © 2009. Sociedad Española de Neumología y Cirugía Torácica
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