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KMID : 1103720140710010049
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Journal of the Korean Society of Radiology
2014 Volume.71 No. 1 p.49 ~ p.53
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A Case of Multiple Myeloma with Extramedullary Plasmacytoma Involving the Testis and Pleura at the Time of Initial Diagnosis
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Shin Mack
Chong Se-Min
Moon Young-Tae
Lee Tae-Jin
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Abstract
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Extramedullary plasmacytoma (EMP) is defined as extra-osseous proliferation of neoplastic plasma cells in multiple myeloma (MM). A 55-year-old man presented with painless swelling of his left testis. Chest imaging showed plaque-like pleural thickening in the right hemithorax, and bone imaging revealed multiple sites of bony involvement. Left orchiectomy and pleural biopsy were performed and the histologic assessment revealed a diagnosis of EMP. Although testes and pleura are rarely involved in MM, the possibility of testicular or pleural EMP should be considered when a patient with MM presents with testicular swelling or a chest imaging abnormality.
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KEYWORD
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Plasmacytoma, Multiple Myeloma, Testis, Pleura
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