An unusual presentation of multiple myeloma

The authors report a case of a 58-year-old woman, ex-smoker, who was referred to the respiratory clinic with a presumed unresolving airspace shadowing in the right lung. Further evaluation of the shadowing with a CT thorax revealed rib lesions, a pancreatic lesion and multiple liver lesions, making...

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Bibliographic Details
Published in:BMJ case reports 2018-11, Vol.11 (1), p.e226412
Main Authors: Schembri, Emma Louise, Mifsud, Simon, Gauci, Jonathan, Mizzi, Adrian, Fsadni, Peter
Format: Article
Language:English
Subjects:
Aftercare
Antineoplastic Combined Chemotherapy Protocols - administration & dosage
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Back pain
Biomarkers
Biopsy
Bone marrow
Case reports
Chemotherapy
Family physicians
Female
Humans
Immunoglobulins
Lung - diagnostic imaging
Lung - pathology
Medical imaging
Metastasis
Middle Aged
Multiple myeloma
Multiple Myeloma - blood
Multiple Myeloma - diagnostic imaging
Multiple Myeloma - drug therapy
Multiple Myeloma - pathology
Pancreatic cancer
Pancreatic Neoplasms
Pancreatic Neoplasms - diagnostic imaging
Pancreatic Neoplasms - drug therapy
Pancreatic Neoplasms - pathology
Pancreatic Neoplasms - secondary
Patients
Plasma
Proteins
Ribs - diagnostic imaging
Ribs - pathology
Thorax
Tomography, X-Ray Computed - methods
Unusual Presentation of More Common Disease/Injury
Urine
Vertebrae
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Description
Summary:The authors report a case of a 58-year-old woman, ex-smoker, who was referred to the respiratory clinic with a presumed unresolving airspace shadowing in the right lung. Further evaluation of the shadowing with a CT thorax revealed rib lesions, a pancreatic lesion and multiple liver lesions, making the diagnosis of metastatic pancreatic carcinoma most likely. However, further blood investigations and imaging eventually revealed the cause for the shadowing to be multiple myeloma, since the unresolving shadowing was actually a rib lesion.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2018-226412