咽后间隙巨大髓外浆细胞瘤1例

A case of huge extramedullary plasmacytoma in the retropharyngeal space

患者,女,60岁,因＂咽部不适3个月,伴吞咽梗阻感1个月＂入院。病程中伴睡眠时憋气,仰卧位时明显,仅能进食流食。入院检查：言语含糊不清,似口若含物。咽部黏膜轻度充血,咽后壁隆起约6cm×6cm,边界欠清、质中、无压痛;双侧颈部未及肿大淋巴结。颈部CT及MRI：口咽、喉咽平面咽后间隙巨大占位,大小约7cm×5cm,多考虑肿瘤性病变（图1~2）。患者发病以来无咽痛、发热、骨痛或关节痛等症状。

Extramedullary plasmacytoma （EMP） are often located in the head and neck region, commonly affecting the nasal cavity, tonsillar fossa and oral cavity but rarely the retropharyngeal space. In tiais report, a 60 - year-- old woman with large EMP in the retropharyngeal space is presented, who was diagnosed by pathology, bone marrow aspi- rate and computed tomography scan. The patient received operation and postoperative radiotherapy with dose of 50 Gy. At sixteen months follow-up, the patient was doing well with no signs of recurrence.