Sunita SINGH, Promil JAIN, Mansi KALA, Rajeev SEN

Multiple myeloma masquerading as a pulmonary mass: A rare presentation

Multiple miyeloma plazma hücrelerinin malign hastalığıdır. Plazma hücreleri vücutta yaygın olarak bulunmakla birlikte, tümör genellikle kemik ve kimik iliği içine yayılır. İlerlemiş vakalarda bile ilik dışına metasazla yayılımı nadirdir. Akciğer parankiminin miyelom hücrelerei tarafından gerek plazmositoma olarak gerekse akciğer metastazı olarak tutulumu nadirdir ve hastalığın agresif terminal dönemi ile ilgilidir. Burada ilk olarak akciğer parankim kitlesi olarak belirti veren bir multiple miyeloma olgusunu sunuyoruz.

Akciğerde bir kitle olarak maskelenen multiple miyeloma: Nadir bir ortaya çıkış

Multiple myeloma represents malignant disorder of plasma cells. Tumour extension is primarily seen within the bone and bone marrow, despite widespread distribution of plasma cells in the body. Metastatic deposits outside bone marrow (extramedullary) are uncommon even in advanced multiple myeloma. Involvement of pulmonary parenchyma by myeloma cells either as plasmacytoma or as a pulmonary infiltrate is rare and is related to aggressive terminal phase of the disease. We are reporting a case of multiple myeloma with a pulmonary parenchymal mass as the initial presenting manifestation.

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