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Inadequately irradiated solitary extramedullary plasmacytoma of the orbit requiring exenteration
1Adnexal Service, Moorfields Eye Hospital, London, United Kingdom.
American Journal of Ophthalmology
|December 1, 1995
Abstract
Purpose:
To emphasize that solitary orbital extramedullary plasmacytoma, a rare tumor, is not invariably radiosensitive.
Method:
We examined a patient who had undergone empirical irradiation that failed to control an orbital tumor.
Results:
After a second biopsy had secured the diagnosis of a solitary extramedullary plasmacytoma, further irradiation proved ineffective and exenteration was required. The patient was free of recurrence one year after exenteration and had satisfactory cosmesis with a prosthesis.
Conclusion:
A histologic diagnosis is essential before treatment is commenced so that the correct radiation dosage is used.