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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2013 July-August;172(7-8):647-51

language: Italian

Pulmonary plasmacytoma in a patient with chronic respiratory failure secondary to pulmonary fibrosis and chronic obstructive bronchopneumo­pathy

Guarino C. 1, Cesaro C. 1, Pontillo A. 1, Tinto A. 1, De Rosa N. 2, Bifulco M. 3, Della Gatta O. 4, Rea G. 5, Turco D. 1

1 U.O.C. Broncologia “Ospedale Monaldi”, AORN Ospedale dei Colli, Napoli, Italia;
2 U.O.C. Anatomia e Istologia , “Ospedale Monaldi”, AORN Ospedale dei Colli, Napoli, Italia;
3 U.O.C. Medicina Nucleare “Ospedale Monaldi” AORN Ospedale dei Colli, Napoli, Italia;
4 U.O.C. Anestesia e Terapia Intensiva , “Ospedale Monaldi”, AORN Ospedale dei Colli Napoli, Italia;
5 U.O.C. Radiodiagnostica “Ospedale Monaldi” AORN Ospedale dei Colli, Napoli, Italia


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The extramedullary plasmacytomas are plasma cell tumors that originate in the soft tissues in the anatomical areas outside the bone. Head and neck are interested in more than 90% of cases, but virtually it is possible to observe localization in every body system. The extramedullary plasmacytomas represent approximately the 3% of all plasma cell tumors and the mean age at diagnosis is about sixty years and the majority of cases was observed in the male sex. The prevalent signs and symptoms in the upper respiratory tract are epistaxis, nasal obstruction and hypersecretion. The primary lung plasmacytoma often appears as a solitary nodule or as a hilar mass. The biopsy is essential to obtain the plasmacellular nature of the tumor and a histological diagnosis in most cases is obtainable by needle aspiration or biopsy. In this paper the authors describe a rare case report of a lung localized endobronchial plasmacytoma treated with polichemotherapy and endobronchial lasertherapy.

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