Unusual presentation of a solitary plasmocytoma of the jaw: a case report

Plasma cell malignancies include two localized forms (e.g. Solitary Plasmocytoma of the Bone-SPBand Extramedullary Plasmocytoma-EMP) and one more severe disseminated form (e.g. Multiple Myeloma-MM). SPB usually affected male during 6th decades, it occurs as a single uni- or multilocular osteolytic lesion, histopathologically characterized by an abnormal proliferation of plasma cell. In this case study a male patient of 60 years, anamnestically reporting diabetes and hypertensions, was observed at the Sector of Oral Medicine for the presence of pain and paraesthesia localized in right emimandibular area arisen from about 2 months after the extraction of 4.7 and 4.6. The patient denied previous therapy with bisphosphonates and/or angiogenesis inhibitory drugs. Clinical examination showed an area of osseous exposition in the site of right emimandibula. Histopathological examination of the biopsy confirmed the diagnosis of SPB, complicated by bone exposition and bacterial superinfection after teeth extraction.