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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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Published in: | Curēus (Palo Alto, CA) CA), 2022-07, Vol.14 (7) |
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description | 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. |
doi_str_mv | 10.7759/cureus.26552 |
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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. 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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.</description><subject>Abdomen</subject><subject>Anemia</subject><subject>Biopsy</subject><subject>Bone marrow</subject><subject>Case reports</subject><subject>Chemotherapy</subject><subject>Creatinine</subject><subject>Gastroenterology</subject><subject>Hemoglobin</subject><subject>Internal Medicine</subject><subject>Laboratories</subject><subject>Magnetic resonance imaging</subject><subject>Medical prognosis</subject><subject>Multiple myeloma</subject><subject>Oncology</subject><subject>Patients</subject><subject>Plasma</subject><subject>Proteins</subject><subject>Radiation therapy</subject><subject>Small intestine</subject><subject>Stains & staining</subject><subject>Surgery</subject><subject>Tomography</subject><subject>Ultrasonic imaging</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNpVkVtLAzEQhYMoKto3f0DAV1dz2c3lRZDiDSyWovgYptlZXUm7NcmK_feuVkSfZmA-zpzDIeSIs1OtK3vm-4h9OhWqqsQW2RdcmcJwU27_2ffIKKVXxhhnWjDNdsmerKxU3Oh9Mr-gM4hIx5CQdg29_MgRignWfQgQ13TaxQwe3iHQaYC0AL_O3QJou6RAp5BbXGb61OYXOsMAq4Q1nfQht6uAdLLGMLCHZKeBkHD0Mw_I49Xlw_imuLu_vh1f3BVelDIXWhrrFRe1KEusTG05U9CgqLTW4JXAumEl-FKi5RbmTTO3TGqrAK3hrPbygJxvdFf9fIG1H5xFCG4V28WQxHXQuv-XZfvinrt3Z2VpKqMGgeMfgdi99Ziye-36uBw8O6GZUaU1TAzUyYbysUspYvP7gTP3VYrblOK-S5Gfgl2ALA</recordid><startdate>20220704</startdate><enddate>20220704</enddate><creator>Bethel, Nyan A</creator><creator>Ajayi, Folasade</creator><creator>Asrar, Henna</creator><creator>Chittamuri, Sahithi</creator><creator>Shaaban, Hamid</creator><general>Cureus Inc</general><general>Cureus</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20220704</creationdate><title>A Rare Case of Extra-Medullary Portacaval Plasmacytoma in a Patient With Relapsed Multiple Myeloma</title><author>Bethel, Nyan A ; 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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.</abstract><cop>Palo Alto</cop><pub>Cureus Inc</pub><pmid>35936187</pmid><doi>10.7759/cureus.26552</doi><oa>free_for_read</oa></addata></record> |
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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 |
title | A Rare Case of Extra-Medullary Portacaval Plasmacytoma in a Patient With Relapsed Multiple Myeloma |
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