Respir Case Rep. 2016; 5(2): 121-124 | DOI: 10.5505/respircase.2016.38358

Endobronþiyal Tutulum ile Birlikte Rekürren Plazmositom Olgusu

Hülya Deniz¹, Özlem Erçen Diken^2
1Çorum Bölge Göðüs Hastalýklarý Hastanesi, Göðüs Hastalýklarý, Çorum
²Hitit Üniversitesi, Göðüs Hastalýklarý Bölümü, Çorum

Ekstramedüller plazmositom ve/veya endobronþiyal plazmositom çok nadir tanýlardýr. Bu olguyu plazmositomun bu nadir durumu nedeni ile sunuyoruz. On yýl önce sað vokal kordda iki yýl önce nazofarenkste ekstramedüller plazmositom tanýsý almýþ olan hasta kliniðimize hemoptizi nedeniyle yönlendirildi. Toraks bigisayarlý tomografisinde sað ara bronþta þüpheli lezyon görülmesi üzerine bronkoskopi iþlemine alýndý. Bronkoskopide sað ara bronþ distalinde geniþ tabanlý polipoid lezyon izlendi. Endobronþiyal polipoid lezyondan alýnan biyopsi incelemesi plazmositozisi gösterdi. Extramedüller plazmositom kemik iliði dýþýnda herhangi bir yumuþak dokuda yerleþmiþ plazmositomdur ve üst solunum yollarý en sýk tutulan bölgelerdir. Ýngilizce literatürde sadece altý adet endobronþiyal plazmositom olgusu vardýr.

Anahtar Kelimeler: Plazmositom, ekstramedüller plazmositom, endobronþiyal plazmositom

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A Case of Recurrent Plasmacytoma with Endobronchial Involvement

Hülya Deniz¹, Özlem Erçen Diken^2
1Department of Chest Disease, Çorum State Chest Diseases Hospital, Çorum, Turkey
²Department of Chest Diseases, Hitit University, Çorum, Turkey

Extramedullary plasmacytomas and/or endobronchial plasmacytomas are rare conditions. We present this case due to its rarity. The patient who was diagnosed with extramedullary plasmacytoma of the right vocal cord ten years ago and nasopharynx two years ago was referred to our unit with hemoptysis. A suspicious lesion was detected in the right intermediate bronchus in the thoracic computed tomography (CT) scan and bronchoscopy was performed. A wide-based polypoid lesion in the distal part of the right intermediate bronchus was observed. Examination of the biopsy samples from the endobronchial polypoid lesion showed the presence of plasmacytosis. Extramedullary plasmacytomas are those which involve any soft tissue other than the bone marrow with the upper respiratory tract, being the most frequent site of extramedullary involvement. There are only six cases of endobronchial plasmacytoma in the English literature.

Keywords: Plasmacytoma, extramedullary plasmacytoma, endobronchial plasmacytoma

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ATIF KOPYALA