Multiple myeloma presenting as bilateral orbital proptosis
| Autor: | Sunandan Sood, Subina Narang, Uma Handa, Archana Malik |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
Immunofixation medicine.medical_specialty Skeletal survey Biopsy Fine-Needle Antineoplastic Agents Diagnosis Differential Lesion lcsh:Ophthalmology Biopsy Exophthalmos Humans Medicine Life saving Multiple myeloma medicine.diagnostic_test biology business.industry Remission Induction Soft tissue Middle Aged medicine.disease Surgery multiple myeloma Ophthalmology medicine.anatomical_structure lcsh:RE1-994 Bilateral proptosis biology.protein plasma cell dyscrasias medicine.symptom Brief Communications Tomography X-Ray Computed business Follow-Up Studies Orbit (anatomy) |
| Zdroj: | Indian Journal of Ophthalmology Indian Journal of Ophthalmology, Vol 57, Iss 5, Pp 393-395 (2009) |
| ISSN: | 0301-4738 |
| DOI: | 10.4103/0301-4738.55069 |
| Popis: | A 58-year-old-man presented with painful rapidly progressive bilateral proptosis with restricted ocular movements of 15 days duration. There was history of significant weight loss in the recent past. Computed tomography scan of the head and orbit revealed bilateral multiple, well-defined, round, soft tissue masses, isointense with muscles in intraconal and extraconal space. Fine needle aspiration cytology and incision biopsy from the lesion, urine for Bence-Jones proteins and immunofixation clinched the diagnosis of multiple myeloma. Skeletal survey did not reveal any bony involvement. The diagnosis of multiple myeloma should be kept in mind in cases of bilateral proptosis. Bony involvement is not universal in cases of orbital myeloma. Early diagnosis can be established with extensive biochemical and histopathological investigations and timely treatment is life saving for these patients. |
| Databáze: | OpenAIRE |
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