Assuntos
Coristoma/diagnóstico por imagem , Cardiopatias/diagnóstico por imagem , Imagem Multimodal , Disgenesia da Tireoide/diagnóstico por imagem , Glândula Tireoide , Idoso , Aorta/diagnóstico por imagem , Coristoma/cirurgia , Cardiopatias/cirurgia , Humanos , Achados Incidentais , Imagem Cinética por Ressonância Magnética , Masculino , Pericárdio/diagnóstico por imagem , Valor Preditivo dos Testes , Disgenesia da Tireoide/cirurgia , Tomografia Computadorizada por Raios XRESUMO
BACKGROUND: Solitary plasmacytoma of the liver is a very rare and aggressive form of plasma cell dyscrasia. To the best of our knowledge, very few cases have been reported without systemic disease. We reported a rare case of hepatic solitary plasmacytoma that successfully responded to fractionated stereotactic radiotherapy. CASE PRESENTATION: A 64-year-old white French man had monoclonal gammopathy of the immune globulin G lambda type; he developed a cholestasis and cytolysis with the discovery of a subscapular nodule. A biopsy showed plasma cells and, for several reasons, the decision was made to use the fractionated stereotactic radiotherapy strategy. After 20 months, he is asymptomatic and the immune globulin G component has completely disappeared. CONCLUSION: We suggest considering Cyberknife® radiosurgery as an option for the treatment of hepatic solitary plasmacytoma.
