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KMID : 0191120070220040754
Journal of Korean Medical Science
2007 Volume.22 No. 4 p.754 ~ p.757
Solitary Extramedullary Plasmacytoma of the Liver without Systemic Monoclonal Gammopathy
Lee Jun-Young

Won Jong-Ho
Kim Hyun-Jung
Bae Sang-Byung
Kim Chan-Kyu
Kim Jung-Hoon
Lee Nam-Su
Lee Kyu-Taek
Park Sung-Kyu
Jin So-Young
Hong Dae-Sik
Park Hee-Sook
Abstract
Extramedullary plasmacytoma of the liver is a very rare tumor. Although a few cases of extramedullary plasmacytoma of the liver have been reported, we could not find any report on truly localized extramedullary plasmacytoma of the liver in the literature. The patient was a 63-yr-old man who exhibited a solitary liver mass on dynamic computed tomography and magnetic resonance imaging. Histologically, the tumor was composed of mature plasma cells with mild atypia. Immunohistochemistry demonstrated monoclonal IgG and Kappa light chain expression. Bone marrow examination revealed no abnormalities. There was no evidence of a monoclonal protein in the serum and urine, lytic bone lesions, anemia, renal insufficiency, and hypercalcemia. The patient was treated with 5,000 cGy of radiotherapy, and the tumor disappeared 6 months after treatment.
KEYWORD
Plasmacytoma, Liver, Monoclonal Gammopathies, Radiotherapy
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