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CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2019; 08(01): 053-056
DOI: 10.1055/s-0038-1676913
Short Communication

Dural Plasmacytoma Involving Calvarium with Soft Tissue Extension Mimicking Meningioma: A Diagnostic Dilemma

Anju Shukla
1   Department of Lab Medicine, Sahara Hospital, Lucknow, Uttar Pradesh, India
,
Devendra Kumar Chhabra
2   Department of Neurosurgery, Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
Tarun Kumar Pandey
2   Department of Neurosurgery, Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
Prashant Raj Singh
2   Department of Neurosurgery, Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
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Abstract

Here, the authors describe a case of 25-year-old man diagnosed with dural plasmacytoma involving calvarium with soft tissue extension. Magnetic resonance imaging (MRI) revealed extra-axial heterogeneously enhancing soft tissue mass lesion in the left parieto-occipital region with a dural tail mimicking meningioma, destroying the left parietal bone, and bulging into the scalp. Mass was excised and histopathologic examination revealed plasmacytoma with amyloid deposition. There is no recurrence after postoperative radiotherapy and 2 years of follow-up, although the future course is still not certain. The clinician should consider alternative diagnosis other than meningioma prior to proceeding to surgery if the dural-based lesion is involving calvarium and soft tissue extension.

Keywords

dural plasmacytoma - calvarium - meningioma


Publication History

Received: 11 April 2018

Accepted: 28 May 2018

Publication Date:
27 March 2019 (online)

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