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Plasmacytoma masquerading as an abscess.

Kanwar Deep Singh Nanda¹, Deepak Bhargava, Bhudev Sharma

¹Department of Oral and Maxillofacial Pathology, Sri Gobind Tricentenary Dental and Medical College and Hospital, Gurgaon, Haryana, India. kdsnanda@gmail.com

Journal of Investigative and Clinical Dentistry

|August 14, 2012

Summary

This summary is machine-generated.

Extramedullary plasmacytoma, a rare soft tissue tumor, can occur in the head and neck. This case highlights an extremely rare instance of maxillary plasmacytoma in a 70-year-old male.

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Area of Science:

Hematology
Oncology
Pathology

Background:

Plasma cell neoplasia encompasses multiple myeloma and plasmacytomas.
Extramedullary plasmacytoma (EMP) involves plasma cell proliferation in soft tissues.
Head and neck EMPs are rare, accounting for 0.4% of malignancies in this region.

Observation:

A 70-year-old male presented with facial swelling mimicking an abscess.
The swelling was located in the right middle third of the face.
Diagnostic workup revealed extramedullary plasmacytoma of the maxilla.

Findings:

Maxillary plasmacytoma is an exceptionally rare presentation of head and neck EMP.
The case involved detailed clinical, radiographic, histological, and immunohistochemical analysis.
Immunohistochemistry confirmed the neoplastic plasma cell origin.

Implications:

This case underscores the importance of considering rare diagnoses in head and neck swellings.
Accurate diagnosis of EMP requires a combination of imaging and pathological evaluation.
Understanding the features of rare tumors like maxillary EMP aids in appropriate patient management.