Background. Ovarian plasmacytomas are a unique and unusual presentation of
extramedullary plasmacytomas (EMP), A report of the seventh such case is pr
esented with review of the previous six cases.
Methods. Surgical and medical staging were performed on the present case. T
he literature is reviewed.
Results. EMP involving the ovary is usually large at the time of presentati
on, more likely involving the left side, and without evidence of disseminat
ed disease. As in other plasma cell dyscrasia, IgG paraprotein is more freq
uently involved,
Conclusion. Adjuvant treatment for ovarian plasmacytomas is not clearly est
ablished; however, if complete surgical resection is achieved and no eviden
ce of multiple myeloma is found, observation should be strongly considered,
(C) 1999 Academic Press.