Long-Term Follow-Up of Two Cases of Primary Pulmonary Plasmacytoma

Ioannis Bougioukas, Mohamad Shadi Alzin, Elke Eltze, Ralf Seipelt and Hanno Huwer

Department of Cardiothoracic Surgery, Voelklingen Heart Centre, Germany
Institute for Pathology, Saarbruecken-Rastpfuhl, Germany

^*Correspondance to: Ioannis Bougioukas 

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Abstract:

Primary pulmonary plasmacytoma is a very rare type of extramedullary plasmacytoma and can potentially progress to multiple myeloma. Certain variability in the therapeutic management of this condition exists because of its rarity. Its presentation as a single pulmonary mass renders both surgery and radiotherapy as attractive therapeutical options. We present the 10-year-follow-up report of two cases of primary pulmonary plasmacytoma, both managed with surgical sublobar resection solely. In the first case, the follow-up was completely uneventful. In the second case, a new pulmonary mass was demonstrated seven years after the resection; however biopsy of this mass excluded both malignancy and disease progression. The actual follow-up of this patient showed no further change of the radiological finding. The possibility of existence of an amyloidoma on the old surgical scar tissue has been considered. Looking at the scarce literature, we conclude that complete surgical resection accompanied by regular aftercare is a rational therapeutical concept for primary pulmonary plasmacytoma. Performance of sublobar resection instead of a more extensive lobectomy is sufficient minimizing operative risk and hospital stay.

Keywords:

Plasmacytoma; Amyloid; Lung

Cite the Article:

Bougioukas I, Alzin MS, Eltze E, Seipelt R, Huwer H. Long-Term Follow-Up of Two Cases of Primary Pulmonary Plasmacytoma. Clin Oncol. 2018; 3: 1499.