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Primary isolated extramedullary plasmacytoma of mesentry: a rare case report.
Gulf J Oncolog. 2012 JulGJ

Abstract

Extramedullary plasmacytoma (EMP) is an uncommon entity that most commonly involves nasopharynx and upper repository tract. Involvement of GIT occurs in approximate 10% of cases. According to WHO plasma cell tumors have been classified into two main groups: Multiple myeloma and plasmacytoma. Plasmacytoma includes solitary plasmacytoma of bone and solitary extramedullary plasmacytoma. EMP can be either primary without evidence of bone marrow involvement or may occur simultaneously with multiple myeloma representing extramedullary spread of the disease. It may occur in association with multiple myeloma and it may precede, accompany or follow the onset of multiple myeloma. Diagnosis of primary EMP requires the exclusion of associated multiple myeloma as shown by negative Bence Jones Proteins in urine, normal serum electrophoresis, normal bone marrow biopsy, normal skeletal survey and normal calcium levels. Here we present a case of 55-year male who came to Nephrology Department for urinary tract infection and pain abdomen. Patient was referred to Radiology for ultrasonography which revealed bilateral renal parenchymal disease with a well-defined mass in the mesentry which was further confirmed on computed tomography. Patient was surgically operated and diagnosis of primary EMP of mesentry was made on histopathological examination. Only three cases have been reported so far in the literature.

Authors+Show Affiliations

Department of Radiodiagnosis, Dyanand Medical College & Hospital, Ludhiana, India. ritugalhotra96@gamail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22773223

Citation

Galhotra, R, et al. "Primary Isolated Extramedullary Plasmacytoma of Mesentry: a Rare Case Report." The Gulf Journal of Oncology, 2012, pp. 81-4.
Galhotra R, Saggar K, Gupta K, et al. Primary isolated extramedullary plasmacytoma of mesentry: a rare case report. Gulf J Oncolog. 2012.
Galhotra, R., Saggar, K., Gupta, K., & Singh, P. (2012). Primary isolated extramedullary plasmacytoma of mesentry: a rare case report. The Gulf Journal of Oncology, (12), 81-4.
Galhotra R, et al. Primary Isolated Extramedullary Plasmacytoma of Mesentry: a Rare Case Report. Gulf J Oncolog. 2012;(12)81-4. PubMed PMID: 22773223.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Primary isolated extramedullary plasmacytoma of mesentry: a rare case report. AU - Galhotra,R, AU - Saggar,K, AU - Gupta,K, AU - Singh,P, PY - 2012/05/27/accepted PY - 2012/7/10/entrez PY - 2012/7/10/pubmed PY - 2013/8/28/medline SP - 81 EP - 4 JF - The Gulf journal of oncology JO - Gulf J Oncolog IS - 12 N2 - Extramedullary plasmacytoma (EMP) is an uncommon entity that most commonly involves nasopharynx and upper repository tract. Involvement of GIT occurs in approximate 10% of cases. According to WHO plasma cell tumors have been classified into two main groups: Multiple myeloma and plasmacytoma. Plasmacytoma includes solitary plasmacytoma of bone and solitary extramedullary plasmacytoma. EMP can be either primary without evidence of bone marrow involvement or may occur simultaneously with multiple myeloma representing extramedullary spread of the disease. It may occur in association with multiple myeloma and it may precede, accompany or follow the onset of multiple myeloma. Diagnosis of primary EMP requires the exclusion of associated multiple myeloma as shown by negative Bence Jones Proteins in urine, normal serum electrophoresis, normal bone marrow biopsy, normal skeletal survey and normal calcium levels. Here we present a case of 55-year male who came to Nephrology Department for urinary tract infection and pain abdomen. Patient was referred to Radiology for ultrasonography which revealed bilateral renal parenchymal disease with a well-defined mass in the mesentry which was further confirmed on computed tomography. Patient was surgically operated and diagnosis of primary EMP of mesentry was made on histopathological examination. Only three cases have been reported so far in the literature. SN - 2078-2101 UR - https://www.unboundmedicine.com/medline/citation/22773223/Primary_isolated_extramedullary_plasmacytoma_of_mesentry:_a_rare_case_report_ DB - PRIME DP - Unbound Medicine ER -