A Case Report of Extramedullary Myeloma Mimicking Lymphoma with Extensive Abdominal Involvement

Autor: Jihae Moon, Jeong Ah Hwang, Hyeong Cheol Shin, Seung Soo Kim, Ji-Hye Lee, Ji Eun Lee, Seo-Youn Choi, Min-Young Lee
Jazyk: English<br />Korean
Rok vydání: 2019
Předmět:
Zdroj: 대한영상의학회지, Vol 80, Iss 5, Pp 997-1002 (2019)
Druh dokumentu: article
ISSN: 1738-2637
2288-2928
DOI: 10.3348/jksr.2019.80.5.997
Popis: Extramedullary myeloma refers to the presence of myeloma deposits outside the skeletal system and typically indicates a poor prognosis associated with shorter overall survival and progression-free survival. We report a case of extramedullary myeloma with extensive, abdominal multi-organ involvement mimicking lymphoma at initial diagnosis. Bulky retroperitoneal masses with severe diffusion restriction and patency of encased vessels can be MR findings of both myeloma and lymphoma. Radiologic findings such as arterial hyperenhancement, obstructive uropathy, and the lack of associated lymphadenopathy may favor a diagnosis of myeloma over lymphoma.
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