Open Access
CC BY 4.0 · Surg J (N Y) 2019; 05(04): e159-e162
DOI: 10.1055/s-0039-1697636
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Large Mass Mimicking Calcified Hematoma of the Skull Showing Involvement of Myeloma Cells and a Good Response to Irradiation

Takamitsu Fujimaki
1   Department of Neurosurgery, Saitama Medical University, Moroyama, Japan
,
Sachiko Hirata
1   Department of Neurosurgery, Saitama Medical University, Moroyama, Japan
,
Naruhiko Terano
1   Department of Neurosurgery, Saitama Medical University, Moroyama, Japan
,
Kenji Wakiya
1   Department of Neurosurgery, Saitama Medical University, Moroyama, Japan
,
Masahito Kobayashi
1   Department of Neurosurgery, Saitama Medical University, Moroyama, Japan
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Publikationsverlauf

13. Februar 2019

07. August 2019

Publikationsdatum:
18. Oktober 2019 (online)

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Abstract

Patients with multiple myeloma often show skull bone involvement, although in most cases this is manifested as skull erosion and large masses develop only rarely. Here we report a patient who presented with a large cranial mass mimicking a subdural hematoma with calcification. The tumor shrunk with 37.5 Gy of focal irradiation in 15 fractions after biopsy. After irradiation the patient was treated with Bortezomib but died because of adverse events. The differential diagnosis of lenticular lesion of the skull and treatment strategy for large skull mass with myeloma cells are discussed.