{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:42:22Z","timestamp":1740166942757,"version":"3.37.3"},"reference-count":79,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T00:00:00Z","timestamp":1726444800000},"content-version":"vor","delay-in-days":77,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg Rep"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objectives\u2003Multiple myeloma (MM) with initial manifestations in the sphenoid sinus, orbital apex, and skull base is exceedingly rare. A systematic review was conducted to investigate the epidemiology and advancements.\n        <\/jats:p><jats:p>\n          Methods\u2003Relevant cases were identified by searching CNKI, WanFang Data, CQVIP databases, PubMed, Embase, and Web of Science. Additionally, we present a case of IgD-\u03bb (immunoglobulin D-lambda) MM with initial symptoms of dizziness, unilateral pain, blindness, and ophthalmoplegia, leading to a 4-month overall survival. Strictly based on PRISMA standards, we included and summarized existing cases and reflected our case.<\/jats:p><jats:p>\n          Results\u2003Our systematic review includes 34 case reports, revealing 67.6% of patients initially presented with diplopia and 44.1% underwent endoscopic procedures, notably with only two cases of IgD-\u03bb subtype. In our case, we performed an endoscopic wide trans-ethmoidal sphenoidotomy and biopsy of the skull base and orbital apex lesion. Postoperative pathology confirmed a highly active plasmacytoma, clinically diagnosed as IgD-\u03bb MM with a TP53 deletion mutation and multiple extramedullary metastases. A range of diagnostic tools was employed, including hemoglobin, immunoglobulin, urinary protein analysis, positron emission tomography-computed tomography (CT), bone marrow cytology, and gene detection.<\/jats:p><jats:p>\n          Conclusion\u2003The subtle clinical manifestations of IgD-\u03bb MM in the paranasal sinuses and skull base hinder early diagnosis. There is a paucity of literature describing MM initially presenting in these locations. CT\/magnetic resonance scans are necessary to identify characteristic bone destruction. An endoscopic approach is popular for tissue biopsy. Bone marrow biopsy with a smear, serum or urine protein electrophoresis, and immunofixation electrophoresis are crucial upon the appearance of target organ damage.<\/jats:p>","DOI":"10.1055\/s-0044-1790589","type":"journal-article","created":{"date-parts":[[2024,9,25]],"date-time":"2024-09-25T13:16:36Z","timestamp":1727270196000},"page":"e144-e155","source":"Crossref","is-referenced-by-count":0,"title":["Immunoglobulin D-Lambda Multiple Myeloma Initially Presenting in the Sphenoid Sinus, Orbital Apex, and Skull Base: A Systematic Review with a Case Report"],"prefix":"10.1055","volume":"85","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9300-6919","authenticated-orcid":false,"given":"Yihan","family":"Chen","sequence":"additional","affiliation":[{"name":"China\u2013Japan Friendship Hospital, Beijing University of Chinese Medicine, Beijing, People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianfeng","family":"Liu","sequence":"additional","affiliation":[{"name":"China\u2013Japan Friendship Hospital, Beijing University of Chinese Medicine, Beijing, People's Republic of China"},{"name":"Department of Otolaryngology-Head and Neck Surgery, China\u2013Japan Friendship Hospital, Beijing, People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianhui","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, China\u2013Japan Friendship Hospital, Beijing, People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,9,16]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"21","DOI":"10.4065\/78.1.21","article-title":"Review of 1027 patients with newly diagnosed multiple myeloma","volume":"78","author":"R A Kyle","year":"2003","journal-title":"Mayo Clin Proc"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"1797","DOI":"10.1038\/s41375-020-01060-w","article-title":"Clinical features and survival outcomes in IgD myeloma: a study by Asia Myeloma Network (AMN)","volume":"35","author":"J Liu","year":"2021","journal-title":"Leukemia"},{"issue":"12","key":"ref3","doi-asserted-by":"crossref","first-page":"1685","DOI":"10.6004\/jnccn.2020.0057","article-title":"Multiple Myeloma, Version 3.2021, NCCN Clinical Practice Guidelines in Oncology","volume":"18","author":"S K Kumar","year":"2020","journal-title":"J Natl Compr Canc Netw"},{"issue":"05","key":"ref4","first-page":"480","article-title":"Guidelines for the diagnosis and management of multiple myeloma in China (2022 version) [in Chinese]","volume":"61","author":"Chinese Hematology Association","year":"2022","journal-title":"Zhonghua Nei Ke Za Zhi"},{"issue":"12","key":"ref5","doi-asserted-by":"crossref","first-page":"2126","DOI":"10.3324\/haematol.2010.022848","article-title":"Efficacy and outcome of autologous transplantation in rare myelomas","volume":"95","author":"C Morris","year":"2010","journal-title":"Haematologica"},{"issue":"02","key":"ref6","first-page":"198","article-title":"The clinical and laboratory features of 432 patients with multiple myeloma","volume":"45","author":"Y J Mai","year":"2004","journal-title":"Journal Leukemia Lymphoma."},{"issue":"06","key":"ref7","first-page":"398","article-title":"A clinical analysis of 798 cases of M protein positive patients [in Chinese]","volume":"40","author":"S Chen","year":"2001","journal-title":"Zhonghua Nei Ke Za Zhi"},{"issue":"02","key":"ref8","first-page":"108","article-title":"Clinical analysis of 218 cases of multiple myeloma","volume":"24","author":"J L Zhuang","year":"2004","journal-title":"Zhongguo Shiyong Neike Zazhi"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1001\/archinte.1975.00330010089012","article-title":"IgD multiple myeloma. 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