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KMID : 0371320010610040445
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Journal of the Korean Surgical Society
2001 Volume.61 No. 4 p.445 ~ p.449
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Metastatic Multiple Myeloma to the Breast A Case Report
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Kim Seung-Il
Kim Eun-Kyung
Park Byeong-Woo
Yang Woo-Ick
Lee Kyung-Sik
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Abstract
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Metastatic foci to the breast resulting from extramammary malignant neoplasm are rare and multiple myeloma involved the breast are extremely rare. A 53 year old woman with a history of multiple myeloma, diagnosed 4 years previously, was admitted
with a
lump in her right breast. A multiple course of chemotherapy was administered. Examination revealed a palpable mass in the upper outer quadrant of the right breast. The firm and mobile mass measured 3×2 ㎝. There was no palpable axillary
lymphadenopathy. Two echo-poor solid masses were present on breast ultrasound and there was evidence of neovascularization on color Doppler. A mammogram revealed a circumscribed spheroid shadow without evidence of microcalcification, spiculation
or
any
other signs of desmoplastic response. A core biopsy revealed immature plasma cell infiltration showing kappa light chain restriction, consistent with multiple myeloma involving the breast. Another case of breast metastasis of multiple myeloma
origin is
described and a review of the literature is discussed.
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KEYWORD
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