Recurrent multiple myeloma presenting as a breast plasmacytoma
Kalyani, A.; Rohaizak, M.; Cheong, S.K.; Nor Aini, U.; Balasundaram, V.; Norlia, A.
Medical Journal of Malaysia 65(3): 227-228
2010
ISSN/ISBN: 0300-5283 PMID: 21939175 Document Number: 641304
We describe a patient with multiple myeloma, who initially responded to chemotherapy and went into remission. She presented 10 months later with a right breast lump which was confirmed by core biopsy to be a plasmacytoma. Further treatment with radiotherapy, thalidomide and later second line chemotherapy appeared unsuccessful and she showed rapid disease progression with rising paraproteins and new extramedullary plasmacytoma lesions in the forehead, supraclavicular region, nasopharynx, liver, spleen, pancreas and paraaortic lymph nodes.