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Relapsing intracranial plasma cell granuloma: A case report
Jaclyn J Renfrow1, Jerry W Mitchell2, Michael Goodman3
1Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
Oncology Letters
|January 8, 2014
Summary
Intracranial plasma cell granuloma, a rare condition, can recur. This case report details a 14-year follow-up, highlighting the erythrocyte sedimentation rate as a useful marker for monitoring disease activity.
Area of Science:
- Neuropathology
- Oncology
- Inflammatory Diseases
Background:
- Plasma cell granuloma is a rare pathological entity, particularly within the cranial cavity.
- Intracranial plasma cell granuloma presents unique diagnostic and management challenges due to its rarity.
Purpose of the Study:
- To present a rare case of intracranial plasma cell granuloma.
- To report the longest known follow-up period for an intracranial plasma cell granuloma case.
- To describe the clinical utility of erythrocyte sedimentation rate in monitoring disease recurrence and therapeutic response.
Main Methods:
- Case report with 14-year medical follow-up.
- Details of treatment including craniotomies, radiation therapy, and glucocorticoid therapy.
- Disease surveillance via clinical examination, imaging, and erythrocyte sedimentation rate monitoring.
Main Results:
- The patient experienced four recurrences of intracranial plasma cell granuloma over 14 years.
- Treatment involved multiple interventions: three craniotomies, 3,600-cGy radiation, and two courses of glucocorticoids.
- Erythrocyte sedimentation rate changes correlated with disease recurrence and response to treatment, demonstrating its clinical utility.
Conclusions:
- Intracranial plasma cell granuloma requires long-term surveillance due to potential for recurrence.
- A multidisciplinary treatment approach is often necessary for managing intracranial plasma cell granuloma.
- Erythrocyte sedimentation rate serves as a valuable, non-invasive biomarker for monitoring disease activity in intracranial plasma cell granuloma.
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