Extramedullary plasmacytoma (EMP) is an uncommon tumor marked by the monoclonal
growth of plasma cells without the characteristics of multiple myeloma. EMP represents 3%
of all plasma cell tumors. An 89-year-old male patient with hypertension was admitted to
our tertiary care hospital with uncontrolled unilateral epistaxis. After a year and a half of
recurring epistaxis, the patient’s bleeding became more frequent and could no longer be

controlled with nasal packing. Angiofibroma was suspected as the initial differential diag-
nosis, and angiofibroma embolization was performed. The patient experienced difficulty

swallowing and slurred speech and was diagnosed with an ischemic stroke. However, an-
tiplatelet and tranexamic acid medications were contraindicated due to bleeding risks. The

patient underwent functional endoscopic sinus surgery, and unexpectedly, histology results
revealed a plasmacytoma. After surgery,the patient remained stable and was discharged for
further management.

العنوان

ELSEVIER

الناشر

Published by Elsevier Inc. on behalf of University of Washington.

بلد الناشر

الولايات المتحدة الأمريكية

Indexing

Scopus

معامل التأثير

None

نوع المنشور

Both (Printed and Online)

المجلد

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السنة

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الصفحات

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