Primary plasmocytomas of the cranial vault

Area of Science:

• Neurosurgery
• Oncology
• Pathology

Background:

• Primary intracranial plasmocytomas are rare neurosurgical tumors.
• These tumors are classified into extramedullary plasmacytomas (dura-originating) and cranial vault plasmacytomas.

Purpose of the Study:

• To discuss the clinical and radiological features of primary cranial vault plasmacytomas.
• To highlight the importance of long-term follow-up for patients with solitary cranial plasmacytomas.

Main Methods:

• Surgical treatment of four patients with primary cranial vault plasmacytomas.
• Analysis of clinical and radiological characteristics.
• Discussion of treatment outcomes and disease progression.

Main Results:

• Immediate excellent outcomes were achieved in all surgically treated patients.
• Two out of four patients experienced disease dissemination within one year post-surgery.
• Solitary cranial plasmacytomas showed a tendency for systemic spread.

Conclusions:

• Surgical treatment offers excellent immediate results for cranial vault plasmacytomas.
• Patients with solitary cranial plasmacytomas require regular rescreening for systemic myelomatosis.
• Long-term surveillance is crucial to detect potential dissemination of the disease.