Abstract
Introduction:
A plasmocytoma involving the pituitary gland is an extremely rare entity, with approximately
22 cases of solitary myeloma or multiple myeloma presenting with sellar mass reported
in the literature so far.
Case report:
Here, we report the case of a 71-year-old female patient affected by an extramedullary
IgG-lambda multiple myeloma presenting as a pituitary mass lesion. We summarize the
diagnostic approaches that confirmed the diagnosis of multiple myeloma and describe
treatment outcome after therapy.
Discussion:
Intrasellar plasmocytoma though rare, should be considered in the differential diagnosis
of a pituitary mass lesion, since associated with different therapeutic and prognostic
implications. Physicians should be alert for intrasellar plasma cell tumors in case
of well preserved anterior pituitary function in combination with cranial nerve neuropathies
and sellar destruction.
Key words
extramedullary multiple myeloma - pituitary mass - case report
