title: Extramedullary plasmacytoma of the nasal cavity: treatment perspective in a developing nation.
abstract: Extramedullary plasmacytomas are uncommon tumors, with a worldwide annual incidence of 3 per 100,000 population. They account for 1% of all tumors of the head and neck and 4% of all nonepithelial tumors of the nasal tract. A variety of treatment options has been suggested. These treatments vary according to the site of presentation, the presence of locoregional spread, and the histologic picture. Radiotherapy has been widely used as a treatment modality, but little has been written about surgery as a single management modality. However, such an option assumes importance in a developing nation, where patient follow-up is erratic and treatment costs must be kept low. We discuss the feasibility of surgery in such a circumstance, and we describe our surgical treatment of a case of extramedullary plasmacytoma in an elderly woman who presented to our hospital in India.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery St John's Medical College Hospital, Bangalore, India. nancybatta@yahoo.com
authors.forename: Nancy
authors.initials: N
authors.lastname: Grover
authors.forename: Geetha
authors.initials: G
authors.lastname: Chary
authors.forename: Purnima
authors.initials: P
authors.lastname: Makhija
authors.forename: Pritilata
authors.initials: P
authors.lastname: Rout
mesh_terms: D000368:Aged; D001707:Biopsy, Needle; D003906:Developing Countries; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D015994:Incidence; D007194:India / Q000453:epidemiology; D009296:Nasal Cavity / Q000473:pathology* / Q000601:surgery; D009669:Nose Neoplasms / Q000175:diagnosis / Q000191:economics / Q000453:epidemiology / Q000601:surgery*; D010954:Plasmacytoma / Q000175:diagnosis / Q000191:economics / Q000453:epidemiology / Q000601:surgery*; D014057:Tomography, X-Ray Computed