Bilateral Myelomatous Pleural Effusion in a Patient with IgA Kappa Multiple Myeloma
Autor: | Mukkamalla Sk, Han E, Zhou Xp, Sahai T, Armenio, Asiamah R |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
0301 basic medicine
Pathology medicine.medical_specialty Pulmonology Pleural effusion 03 medical and health sciences 0302 clinical medicine pleural effusion bad prognosis Cytology Bone marrow disorder medicine Multiple myeloma business.industry General Engineering medicine.disease multiple myeloma 030104 developmental biology Oncology 030220 oncology & carcinogenesis Pleural fluid Immunohistochemistry Extramedullary plasmacytoma business Kappa |
Zdroj: | Cureus |
ISSN: | 2168-8184 |
Popis: | Multiple myelomas is a neoplastic plasma cell disorder that accounts for one percent of all cancers and 13% of hematologic malignancies. Although primarily known to be a bone marrow disorder, it can metastasize to extramedullary sites or it can present as a solitary extramedullary plasmacytoma. Primary pleural effusion from myeloma is rare, occurring in less than one percent of the patients. The following case report highlights a case of bilateral pleural effusion, directly attributable to multiple myeloma after other causes were ruled out. The diagnosis was made using cytology and immunohistochemical (IHC) staining of the pleural fluid. Myelomatous pleural effusion (MPE) is a poor prognostic feature heralding an aggressive underlying disease state, as represented in this case. |
Databáze: | OpenAIRE |
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