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Extramedullary plasmacytoma of the tonsil with nodal involvement.

Bazaadut S, Soodin D, Singh P, Khalafallah A, Withers S, Taylor S, Fernando R - Int J Otolaryngol (2010)

Bottom Line: A 58-year-old Caucasian male presented with a solitary 3 cm x 3 cm jugulodigastric lymph node and was found to have an ipsilateral tonsillar swelling.The involved tonsil and lymph node were surgically resected after two inconclusive fine-needle aspirates, and plasmacytoma was confirmed histologically and by immunocytochemistry.We also highlight the challenges of diagnosis when fine-needle aspiration is inconclusive and the need for careful planning before surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Otolaryngology, Launceston General Hospital, Tasmania, Australia.

ABSTRACT
We present a rare case of extramedullary plasmacytoma of the palatine tonsil with cervical lymph node involvement treated by surgical resection. A 58-year-old Caucasian male presented with a solitary 3 cm x 3 cm jugulodigastric lymph node and was found to have an ipsilateral tonsillar swelling. The involved tonsil and lymph node were surgically resected after two inconclusive fine-needle aspirates, and plasmacytoma was confirmed histologically and by immunocytochemistry. Adjuvant radiotherapy was not indicated as adequate resection was achieved at surgery. We also highlight the challenges of diagnosis when fine-needle aspiration is inconclusive and the need for careful planning before surgery.

No MeSH data available.


Related in: MedlinePlus

MRI of the neck showing an enlarged lymph node (long arrow) and a bulge in the right tonsillar fossa (short arrow) suspicious for primary tumour.
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fig1: MRI of the neck showing an enlarged lymph node (long arrow) and a bulge in the right tonsillar fossa (short arrow) suspicious for primary tumour.

Mentions: Due to a possible vascular relation to the mass, an MRI of the neck was done, showing a sharply defined ovoid 3 × 3 × 4.5 cm nonspecific soft tissue mass with heterogeneous enhancement, likely a lymph node, with a mass-like bulge in the right tonsillar fossa suspicious for a primary tumour (Figure 1). This supported the clinical diagnosis of a tonsillar primary lesion with a regional nodal deposit.


Extramedullary plasmacytoma of the tonsil with nodal involvement.

Bazaadut S, Soodin D, Singh P, Khalafallah A, Withers S, Taylor S, Fernando R - Int J Otolaryngol (2010)

MRI of the neck showing an enlarged lymph node (long arrow) and a bulge in the right tonsillar fossa (short arrow) suspicious for primary tumour.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2913787&req=5

fig1: MRI of the neck showing an enlarged lymph node (long arrow) and a bulge in the right tonsillar fossa (short arrow) suspicious for primary tumour.
Mentions: Due to a possible vascular relation to the mass, an MRI of the neck was done, showing a sharply defined ovoid 3 × 3 × 4.5 cm nonspecific soft tissue mass with heterogeneous enhancement, likely a lymph node, with a mass-like bulge in the right tonsillar fossa suspicious for a primary tumour (Figure 1). This supported the clinical diagnosis of a tonsillar primary lesion with a regional nodal deposit.

Bottom Line: A 58-year-old Caucasian male presented with a solitary 3 cm x 3 cm jugulodigastric lymph node and was found to have an ipsilateral tonsillar swelling.The involved tonsil and lymph node were surgically resected after two inconclusive fine-needle aspirates, and plasmacytoma was confirmed histologically and by immunocytochemistry.We also highlight the challenges of diagnosis when fine-needle aspiration is inconclusive and the need for careful planning before surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Otolaryngology, Launceston General Hospital, Tasmania, Australia.

ABSTRACT
We present a rare case of extramedullary plasmacytoma of the palatine tonsil with cervical lymph node involvement treated by surgical resection. A 58-year-old Caucasian male presented with a solitary 3 cm x 3 cm jugulodigastric lymph node and was found to have an ipsilateral tonsillar swelling. The involved tonsil and lymph node were surgically resected after two inconclusive fine-needle aspirates, and plasmacytoma was confirmed histologically and by immunocytochemistry. Adjuvant radiotherapy was not indicated as adequate resection was achieved at surgery. We also highlight the challenges of diagnosis when fine-needle aspiration is inconclusive and the need for careful planning before surgery.

No MeSH data available.


Related in: MedlinePlus