A Rare Case of Extra-Medullary Portacaval Plasmacytoma in a Patient With Relapsed Multiple Myeloma

Multiple myeloma (Kahler disease) is a monoclonal plasma cell immunoproliferative neoplasm originating within the bone marrow that involves the production of monoclonal immunoglobulins, mostly IgG and IgA. Extramedullary plasmacytoma (EMP) is a subset of plasma cell neoplasms that can develop in pat...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-07, Vol.14 (7)
Main Authors: Bethel, Nyan A, Ajayi, Folasade, Asrar, Henna, Chittamuri, Sahithi, Shaaban, Hamid
Format: Article
Language:English
Subjects:
Abdomen
Anemia
Biopsy
Bone marrow
Case reports
Chemotherapy
Creatinine
Gastroenterology
Hemoglobin
Internal Medicine
Laboratories
Magnetic resonance imaging
Medical prognosis
Multiple myeloma
Oncology
Patients
Plasma
Proteins
Radiation therapy
Small intestine
Stains & staining
Surgery
Tomography
Ultrasonic imaging
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Summary:Multiple myeloma (Kahler disease) is a monoclonal plasma cell immunoproliferative neoplasm originating within the bone marrow that involves the production of monoclonal immunoglobulins, mostly IgG and IgA. Extramedullary plasmacytoma (EMP) is a subset of plasma cell neoplasms that can develop in patients at the time of diagnosis with multiple myeloma, or relapse of the disease. Symptoms related to plasmacytomas depend on the primary location. Here in, we present a rare case of extramedullary plasmacytoma involving the portacaval space in an 83-year-old African American female with relapsed multiple myeloma. She was treated successfully with radiation therapy with complete resolution of the mass. In this case report, we aim to discuss the clinical features along with diagnostic methods and treatment for extramedullary plasmacytomas with emphasis on utilizing a multidisciplinary approach in managing these rare cases.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.26552