Skull base plasmacytoma in young patients aged below 40 years: Radiological perspectives and clinical outcomes

Bibliographic Details
Title: Skull base plasmacytoma in young patients aged below 40 years: Radiological perspectives and clinical outcomes
Authors: Hesham Elsabah, Rola Ghasoub, Dina S. Soliman, Feryal Ibrahim, Mahmood B. Aldapt, Ruba Y. Taha, Safaa Al Azawi, Deena Mudawi, Abbas Moustafa, Halima Elomri, Honar Cherif
Source: Cancer Reports, Vol 7, Iss 7, Pp n/a-n/a (2024)
Publisher Information: Wiley, 2024.
Publication Year: 2024
Collection: LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Subject Terms: autologous stem cell transplant, clivus, multiple myeloma, plasmacytoma, radiotherapy, skull base, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
More Details: Abstract Background Plasmacytoma of the skull base is a rare manifestation of plasma cell neoplasm with only a few cases documented in literature involving young adults. Plasmacytoma can be an isolated solitary lesion or a secondary manifestation of multiple myeloma (MM). In this study, we report the clinical and radiological characteristics, management, and outcomes of patients under the age of 40 who presented with skull base plasmacytoma and associated neurological manifestations. Additionally, we share our experience in treating a rare case of skull base plasmacytoma diagnosed during pregnancy, in which the patient exhibited a favorable response to myeloma treatment initiated after delivery. Case Series Four patients were identified, comprising one pregnant female and three male patients, with a median age of 36 years (range 33–37 years). The main presenting symptoms were headache, dizziness, and cranial nerve palsy. All patients received underwent systemic myeloma therapy and radiotherapy with three patients also underwent autologous stem cell transplantation (ASCT). Notably, all patients achieved complete remission. Conclusion Skull base plasmacytoma represents a rare manifestation of plasma cell neoplasms, underscoring the importance of considering it in the differential diagnosis of skull base lesions to ensure early intervention and avoid potential serious complications. Throughout our series, the cornerstone of therapy involved radiotherapy, systemic myeloma therapy, and ASCT, all of which elicited a favorable response in every case.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2573-8348
Relation: https://doaj.org/toc/2573-8348
DOI: 10.1002/cnr2.2106
Access URL: https://doaj.org/article/cb4ab6079b9644ef94f759002064c107
Accession Number: edsdoj.b4ab6079b9644ef94f759002064c107
Database: Directory of Open Access Journals
More Details
ISSN:25738348
DOI:10.1002/cnr2.2106
Published in:Cancer Reports
Language:English