Evidence map›Paper›PMID 41938393›Full record

ArticleInternational journal of surgery case reports2026

Solitary extramedullary plasmacytoma of the tongue: a case report.

Mohamed Bouallou, Achraf Amine Sbai, Drissia Benfadil, Azeddine Lachkar, Fahd El Ayoubi El Idrissi

Abstract readCase Reports
In one paragraph

Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mohamed BouallouFaculty of Medicine and Pharmacy, Mohammed First University, Oujda, Morocco.ORCID https://orcid.org/0009-0007-1939-4635
Achraf Amine SbaiFaculty of Medicine and Pharmacy, Mohammed First University, Oujda, Morocco.
Drissia BenfadilFaculty of Medicine and Pharmacy, Mohammed First University, Oujda, Morocco.
Azeddine LachkarFaculty of Medicine and Pharmacy, Mohammed First University, Oujda, Morocco.
Fahd El Ayoubi El IdrissiFaculty of Medicine and Pharmacy, Mohammed First University, Oujda, Morocco.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction and Importance: Extramedullary plasmacytomas are rare solitary plasma cell neoplasms that occur outside the bone marrow. Primary tongue involvement is exceptionally uncommon and presents a significant diagnostic challenge. Their clinical presentation is often subtle and may closely mimic more common neoplastic processes. Case Presentation: We report the case of a 35-year-old man who presented with a gradually enlarging, firm, and painless mass on the ventral surface of the tongue that had been evolving for 5 months. Histopathological and immunohistochemical analyses revealed sheets of atypical plasma cells expressing CD38 and CD138 with kappa light-chain restriction, consistent with monoclonal plasma cell proliferation. A comprehensive systemic evaluation excluded multiple myeloma. The patient underwent definitive radiotherapy with a total dose of 50 Gy delivered in 25 fractions, resulting in complete remission without any functional impairment. At 9 months of follow-up, the patient showed no evidence of local recurrence or progression to multiple myeloma. Clinical Discussion: Primary extramedullary plasmacytoma of the tongue is exceptionally rare and may clinically mimic more common malignant or benign lesions, particularly in patients with a history of tobacco and alcohol exposure. An accurate diagnosis requires a multidisciplinary approach that integrates clinical findings, imaging, and histopathology, with immunohistochemical confirmation of monoclonality. Currently, radiotherapy remains the cornerstone of treatment, providing excellent local control and durable long-term remission. Conclusion: This case underscores the exceptional rarity of primary extramedullary plasmacytoma of the tongue and highlights the effectiveness of radiotherapy as a curative and function-sparing treatment option for this condition, while emphasizing the necessity of long-term and lifelong surveillance to detect potential late recurrence or progression to multiple myeloma.

Indexed as

case reportextramedullary plasmacytomaplasma cell dyscrasiaradiotherapytongue

Identifiers

PMID41938393
PMCPMC13045978

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.