论文部分内容阅读
浆细胞性肿瘤多来源于骨髓内的浆细胞又称骨髓瘤。偶尔,髓外软组织亦可发生,由浆细胞构成与骨髓瘤难以鉴别而骨髓内无原发灶。现将我科收治二例口唇原发性浆细胞瘤报告如下。例1,患者男性。49岁,因下唇糜烂20余年,久治不愈。近几年糜烂面不断扩大,于1989年2月以“下唇癌”收入院。入院后查体全身检查无异常。本科检查:下唇粘膜糜烂、溃疡、中1/3唇红缺损,破溃面已波及下唇4/5,表面无结痂,基底硬,口内检查无异常,颏下、双颌下无忡大淋巴结。在局麻下行下唇部分切除术及局部组织瓣整复术。术后病理报告:下唇浆细胞瘤。例2,患者女性,53岁,自幼上唇肿物,近半年生长加快且易出血。于1989年4月以“上唇血
Plasma cell tumors are mostly derived from plasma cells in the bone marrow, also known as myeloma. Occasionally, extramedullary soft tissue can also occur. It is difficult to discriminate between myeloma and plasma cells and there are no primary lesions in the bone marrow. Now we will treat two cases of primary plasmacytoma in the mouth as follows. Case 1, patient male. 49 years old, due to the erosion of the lower lip more than 20 years, long treatment. In recent years, the erosive surface has continued to expand. In February 1989, he was admitted to the “lower lip cancer” hospital. After admission, there was no abnormality in the physical examination. Undergraduate examination: lower lip mucous membrane erosion, ulcers, middle 1/3 lip red defect, rupture surface has spread to the lower lip 4/5, no scab on the surface, basement hard, no abnormalities in the mouth examination, under the armpit, double jaw Large lymph nodes. In the local anesthesia lower lip partial resection and partial tissue flap repair surgery. Postoperative pathology report: Lower lip plasma cell tumor. Case 2, female patient, 53 years old, upper lip mass since childhood, rapid growth and bleeding in the past six months. In April 1989 with "upper lip blood