Elçin ERDOĞAN YÜCEL, Boran YAVUZ, Aylin Fatma KARATAŞ, İnci ALACACIOĞLU, Sermin ÖZKAL, Oğuz DİÇLE, Mustafa SEÇİL, Hayri ÖZSAN

Relaps Multiple Myelom Hastasında Solid Tümör Metastazını Taklit Eden Karaciğer Plazmasitomu: Olgu Sunumu ve Literatürün Gözden Geçirilmesi

Amaç: Multiple Myelom (MM) hastalarında sağ kalım uzadıkça, ekstramedüller hastalık görülme sıklığı artmaktadır. Nadir olarak, malign klonlar gastrointestinal sistemi infiltre edebilir. Nodüler hepatik plazmasitom, solid tümör ile karışabilen nadir bir durumdur. Relaps myelom hastasında multiple noduler hepatik plazmasitom saptadığımız ilginç bir vakayı sunuyoruz. Olgu: Myelom hastalarında karaciğer enzimlerinde artış izlendiğinde, plazmasitom da ayırıcı tanılarımız arasında yer almalıdır. Sonuçlar: Bu vaka sunumu ile myelomun ekstramedüller tutulumlarını vurgulamayı amaçladık.

Anahtar Kelimeler:

Multiple Myelom, Plazmasitom, Metastaz

Liver Plasmacytoma Mimicking Solid Tumor Metastasis in a Relapsed Myeloma Patient: Case Report and Review of the Literature

Aim: The prevalence of extramedullary disease increases as the survival of Multiple Myeloma (MM) patients prolong. Rarely, malign clones may involve the gastrointestinal system. Nodular hepatic plasmacytoma is also rare and can be confused with solid tumor metastasis. Here we present an interesting case of multiple nodular hepatic plasmacytoma in relapsed myeloma patient. Case: The diagnosis is confirmed by magnetic resonance imaging and trucut biopsy of liver. If elevated liver enzymes are detected in a patient with myeloma, the patient should be evaluated for liver plasmacytoma. In case of doubt, imaging and biopsy should be performed. Conclusion: We aim to draw attention to the findings of extramedullary involvement in MM patients.

Keywords:

Multiple Myeloma, Plasmacytoma, Metastasis,

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