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Extrahepatische biliäre Obstruktion durch Pankreasinfiltration bei Plasmozytom

Extrahepatic biliary obstruction secondary to myeloma of the pancreas

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This is a report about a 61 year old male suffering from IgG-Kappaplasmocytoma. 12 months after the initial diagnosis, he developed an intrathoracal plasma cell tumour, primarily affecting the pleura. One year later obstructive jaundice was caused by a mass of the head of the pancreas, diagnosed by ultrasound. Percutaneous fine needle aspiration biopsy revealed homogenous plasma cell infiltration of the gland.

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Vincristin 0,4 mg/die Tag 1–4, Adriamycin 9 mg/m2 Tag 1–4, Fortecortin 40 mg/die Tag 1–4, 9–12, 17–20


Vincristin 1 mg i.v. Tag 1, Cyclophosphamid 100 mg/m2 p.o. Tag 1–4, Melphalan 5 mg/m2 p.o. Tag 1–4, Prednison 75 mg/m2 p.o. Tag 1–4


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Görg, C., Schwerk, W., Görg, K. et al. Extrahepatische biliäre Obstruktion durch Pankreasinfiltration bei Plasmozytom. Klin Wochenschr 63, 718–721 (1985).

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Key words

  • Multiple myeloma
  • Obstructive jaundice
  • Pencreas infiltration