Multiple Myeloma Presented With Unilateral Ptosis: A Case Report.
- Author:
Min Joung LEE
1
;
Ho Kyung CHOUNG
;
Sang In KHWARG
;
Hee Jin YANG
Author Information
1. Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Multiple myeloma;
Orbital mass;
Plasmacytoma;
Ptosis
- MeSH:
Adult;
Biopsy;
Bone Marrow;
Craniotomy;
Diagnosis;
Exophthalmos;
Eyelids;
Humans;
Multiple Myeloma*;
Orbit;
Plasma Cells;
Plasmacytoma
- From:Journal of the Korean Ophthalmological Society
2005;46(6):1073-1078
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: As orbital involvement in multiple myeloma is rare, the correct diagnosis is usually difficult. We report a case of multiple myeloma which involved the orbit, and which presented with unilateral ptosis. METHODS: A 35-year-old man was referred for the evaluation of ptosis of the left eyelid for 1 month. The levator function was normal, and there was no proptosis. Orbital computerized tomography (CT) revealed an orbital mass lesion involving the superior orbital ridge with intracranial extension. RESULTS: Excisional biopsy was performed through craniotomy and superior orbitotomy. Histopathologic examination and immunostaining result suggested a diagnosis of a plasmacytoma. The diagnosis of multiple myeloma was confirmed through bone marrow aspiration and biopsy showing diffuse infiltration of plasma cells. CONCLUSIONS: We experienced a case of multiple myeloma, which is rare in the orbit presenting unilateral ptosis. In addition, the possibility of orbital mass should be considered as an unusual cause of unilateral, acquired, progressive ptosis.
