Medicine and Health  2017;12(2):341-347

Good Anatomical Outcome of Orbital Plasmacytoma Following Chemo-Radiotherapy

Aimy Mastura ZY 1 ; Othmaliza O ; Khairunisa AA ; Norshamsiah MD

Affiliations

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Keywords

extramedullary; multiple myeloma; optic nerve injuries; plasmacytoma; proptosis

Country

Malaysia

Language

English

Abstract

Extramedullary plasmacytoma is a rare complication from multiple myeloma. We report a 56-year-old lady with underlying multiple myeloma who developed swelling over the left eye. It caused a non-axial proptosis, exposure keratopathy and visual acuity of counting fingers. A tissue biopsy revealed infiltration of tissue fragments with neoplastic plasma cells positive for CD138 and Kappa light chain restrictions consistent with plasmacytoma. Following radio-chemotherapy, the mass shrunk tremendously but her visual outcome remained poor.