Summary
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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Abbreviations
- VAD:
-
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
- VCMP:
-
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
Literatur
Alexanien R, Salmon S, Bonnet J et al. (1977) Combination chemotherapy for multiple myeloma. Cancer 40:2765
Barlogie B, Smith L, Alexanien R (1984) Effective treatment of advanced multiple myeloma refractory to alkylating agents. N Engl J Med 310:1353
Bell HG, David R, Shamsuddin AM (1982) Extrahepatic biliary obstruktion and liver failure secondary to myeloma of the pancreas. Hum Pathol 13:940
Bergsagel DE, Pruzanski W (1975) Treatment of plasma cell myeloma with cytotoxic agents. Arch Intern Med 135:172
Bergsagel DE, Bailey AJ, Langley GR et al. (1979) The chemotherapy of plasma-cell myeloma and the incidence of acute leukemia. N Engl J Med 301:743
Bergsagel DE, Rider WD (1982) Plasma cell neoplasms. In: Devita VT, Hellman S, Rosenberg SA (eds) Cancer, Principles and Practice of Oncology, J.B. Lippincott, Philadelphia, p 1439
Crowin J, Lindberg RD (1979) Solitary plasmocytoma of bone vs. extramedullary plasmocytoma and their relationship to multiple myeloma. Cancer 43: 1007
Marsch WCH, Gross KM (1978) Frequency and pathomorphology of extramedullary manifestations in plasma cell myeloma of the skeleton. Path Res Pract 163:115
Pasmantier MH, Kar HA (1969) Extraskeletal spread in multiple plasma cell myeloma. A review of 57 autopsied cases. Cancer 23:167
Schubert GF, Jahnke K, Boehnke J (1984) Sekundär extramedulläres Myelom. Med Welt 35:374
Simon TL, Rughani IK, Pierson DJ et al. (1978) Multiple plasmocytomas with thoracis and biliary involvement. Arch Intern Med 138:1165
Thomas FB, Clansen KP, Norton J et al. (1973) Liver disease in multiple myeloma. Arch Intern Med 132:195
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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). https://doi.org/10.1007/BF01733116
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DOI: https://doi.org/10.1007/BF01733116