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Extramedullary Plasmacytoma of the Tonsil with Nodal Involvement

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Author(s): Simon Bazaadut | Dilshard Soodin | Pradeep Singh | Alhossain Khalafallah | Shannon Withers | Scott Taylor | Ruchira Fernando

Journal: International Journal of Otolaryngology
ISSN 1687-9201

Volume: 2010;
Date: 2010;
Original page

ABSTRACT
We present a rare case of extramedullary plasmacytoma of the palatine tonsil with cervical lymph node involvement treated by surgical resection. A 58-year-old Caucasian male presented with a solitary 3 cm × 3 cm jugulodigastric lymph node and was found to have an ipsilateral tonsillar swelling. The involved tonsil and lymph node were surgically resected after two inconclusive fine-needle aspirates, and plasmacytoma was confirmed histologically and by immunocytochemistry. Adjuvant radiotherapy was not indicated as adequate resection was achieved at surgery. We also highlight the challenges of diagnosis when fine-needle aspiration is inconclusive and the need for careful planning before surgery.
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