Plasmacytoma of the Skull Base: A Meta-Analysis

Shorook Na'ara, Moran Amit, Ziv Gil, Salem Billan

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Objective Extramedullary plasmacytomas are rare tumors. In the current study we aim to characterize its clinical course at the skull base and define the most appropriate therapeutic protocol. Methods We conducted a meta-analysis of articles in the English language that included data on the treatment and outcome of plasmacytoma of the base of skull. Results The study cohort consisted of 47 patients. The tumor originated from the clivus and sphenoclival region in 28 patients (59.5%), the nasopharynx in 10 patients (21.2%), the petrous apex in 5 patients (10.6%), and the orbital roof in 4 patients (8.5%). The chief complaints at presentation included recurrent epistaxis and cranial nerve palsy, according to the site of tumor. Twenty-two patients (46.8%) had surgical treatment; 25 (53.2%) received radiation therapy. Adjuvant therapy was administered in 11 cases (50%) with concurrent multiple myeloma. The 2-year and 5-year overall survival rates were 78% and 59%, respectively. Clear margin resection was achieved in a similar proportion of patients who underwent endoscopic surgery and open surgery (p = 0.83). A multivariate analysis of outcome showed a similar survival rate of patients treated surgically or with radiotherapy. Conclusions The mainstay of treatment for plasmacytoma is based on radiation therapy, but when total resection is feasible, endoscopic resection is a valid option.

Original languageEnglish (US)
Pages (from-to)61-65
Number of pages5
JournalJournal of Neurological Surgery, Part B: Skull Base
Volume77
Issue number1
DOIs
StatePublished - Aug 20 2015

Keywords

  • base of skull
  • clivus
  • extramedullary
  • plasmacytoma

ASJC Scopus subject areas

  • Clinical Neurology

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