EURORAD ESR

Case 3080

Solitary plasmacytoma of the Clivus: a case report

Author(s)
Karaman B, Silit E, Mutlu H, Basekim C, Kizilkaya E, Yýldýrým S
 
Patient
male, 78 year(s)
 
 
  • Figure 1
    CT imaging

    Figure 1. On CT an expansion and osteolytic lesion without a sclerotic rim is seen in clivus bone. The tumor was slightly hyperdense on precontrast CT.

     
    Area of Interest: unknown; Imaging Technique: CT imaging;
     
     
  • Figure 2
    MR imaging
     

    On MRI, (a) the tumor was isointense to the brain on sagital T1-weighted (TR 600 ms/TE 15 ms)

     
    Area of Interest: unknown; Imaging Technique: MR imaging;

    (b) iso-or slightly hyperintense to the cerebellum on axial T2-weighted (TR 3000 ms/ TE 90 ms) images

     
    Area of Interest: unknown; Imaging Technique: MR imaging;

    After intravenous Gd-DTPA injection (0.1 mmol/kg) lesion was markedly enhanced. There were also cystic areas seen inside the tumor

     
    Area of Interest: unknown; Imaging Technique: MR imaging;
     
     
  • Figure 3
    Surgical specimen pathology

    At surgical specimen of the lesion (haematoxylin and eosin x 100) the tumour tissue is highly cellular, and composed of medium sized polygonal cells with hiperchromatic eccentric nuclei. Tumour cellls are expressed CD...

     
    Area of Interest: unknown; Imaging Technique: Surgical specimen pathology;
     
     
Figure 1. On CT an expansion and osteolytic lesion without a sclerotic rim is seen in clivus bone. The tumor was slightly hyperdense on precontrast CT.
 
On MRI, (a) the tumor was isointense to the brain on sagital T1-weighted (TR 600 ms/TE 15 ms)
 
(b) iso-or slightly hyperintense to the cerebellum on axial T2-weighted (TR 3000 ms/ TE 90 ms) images
 
After intravenous Gd-DTPA injection (0.1 mmol/kg) lesion was markedly enhanced. There were also cystic areas seen inside the tumor
 
At surgical specimen of the lesion (haematoxylin and eosin x 100) the tumour tissue is highly cellular, and composed of medium sized polygonal cells with hiperchromatic eccentric nuclei. Tumour cellls are expressed CD 68 and kappa light chain.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version