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Solitary endobronchial plasmacytoma—a rare differential of an endobronchial mass

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Diagnostic dilemma, owing to the inconclusiveness of biopsy results, often leaves us with limited options to offer to the patients upfront, amongst the various armamentarium available. We hereby report a rare case of extramedullary plasmacytoma, whose diagnosis was established only on the final histopathology report with the aid of immunohistochemistry. A 50-year-old gentleman presented to our outpatient setup with computed tomography suggestive of a well-defined endobronchial mass occupying the left lower lobe bronchus. However, bronchoscopy and computed tomography–guided biopsies were inconclusive. After a routine metastatic workup, the patient underwent a left lower lobectomy following a provisional diagnosis of carcinoid on the frozen section. The final histopathology was solitary endobronchial plasmacytoma. Postoperative myeloma workup was within normal limits and the patient is doing well and disease free at 8 months of follow-up. This rare differential needs to be kept in mind while evaluating a case of well-defined endobronchial growth.

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Abbreviations

CT :

Computed tomography

IHC :

Immunohistochemistry

EMP :

Extramedullary plasmacytoma

SEP :

Solitary endobronchial plasmacytoma

PET-CT :

Positron emission tomography-computed tomography

Nd-Yag :

Neodymium-doped yttrium aluminum garnet

MGUS :

Monoclonal gammopathy of undetermined significance

MM :

Multiple myeloma

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Authors and Affiliations

  1. Department of Surgical Oncology, GCRI Hospital, Ahmedabad, India

    Kanika Kapur, Mohit Sharma, Ketul Puj, Vivek Bande & Shashank Pandya

Authors
  1. Kanika Kapur
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  2. Mohit Sharma
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  3. Ketul Puj
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  4. Vivek Bande
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  5. Shashank Pandya
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Corresponding author

Correspondence to Mohit Sharma.

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The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given consent for his images and other clinical information to be reported in the journal. The patient understands that his name and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Kapur, K., Sharma, M., Puj, K. et al. Solitary endobronchial plasmacytoma—a rare differential of an endobronchial mass. Indian J Thorac Cardiovasc Surg 39, 629–631 (2023). https://doi.org/10.1007/s12055-023-01557-w

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  • DOI: https://doi.org/10.1007/s12055-023-01557-w

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