Extramedullary plasmacytoma of the tonsil with nodal involvement.
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 x 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.
Bazaadut
Simon
S
Department of Otolaryngology, Launceston General Hospital, Tasmania, Australia.
Soodin
Dilshard
D
Singh
Pradeep
P
Khalafallah
Alhossain
A
Withers
Shannon
S
Taylor
Scott
S
Fernando
Ruchira
R