摘要
目的探讨孤立性浆细胞瘤(SP)的诊断和治疗。方法分析2例SP病例的临床资料。结果1例SPB已随访2年,无局部复发及远处播散。1例EMP经术后放疗,局部疗效达CR,现存活。结论单纯放疗是治疗SP最有效的方法之一,局部放疗DT40Gy^50Gy可获得良好的局控率。SP可向多发性骨髓瘤转化,故需密切随访观察。
Objective： To discuss the diagnosis and treatment of solitary plasmacytoma（SP）. Methods： Clinical data of two patients with SP were reviewed retrospectively and related literature was reviewed. Results ： One case had no local recurrence and distant metastasis or progression to multiple myeloma during follow - up of two years. The other case was complete response（CR） received local radiotherapy after operation and now survival . Conclusion： Solitary plasmacytoma may well be cured with small field and limited dose of radiation therapy alone. The diagnosis of SP requires combined eramination a complets （ including MRI） and strict criteria to exclude multiple myeloma. Close follow up is necessary in those converted to multiple myeloma.
出处
《现代肿瘤医学》
CAS
2007年第3期413-415,共3页
Journal of Modern Oncology
