Multiple myeloma associated with extramedullary plasmacytoma causing nerve root compression: A case report

Kuo Chi Hu, Johnson Lin, Yao Chia Chuang, Sho Jen Cheng, Kuo Ming Chang

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Multiple myeloma associated with extramedullary plasmacytoma at initial presentation is rare. We describe a 45-year-old female patient with an initial presentation of low back pain and right side L5, S1 radiculopathy. There was no evidence of vertebral involvement but an epidural tumor was found later during neurosurgical intervention. The final diagnosis was immunoglobulin G, kappa multiple myeloma complicated with spinal root compression by an extramedullary plasmacytoma. No osteolytic lesion was noted over the length of the spine. Pathology revealed high-grade plasmablastic myeloma. During the clinical course, the patient was refractory to induction chemotherapy, and there was progressive deterioration of renal function. Urinary tract infection by Morganella morganii and pulmonary infection of unknown cause developed 5 months later, and the patient died.

Original languageEnglish
Pages (from-to)277-280
Number of pages4
JournalJournal of the Formosan Medical Association
Volume100
Issue number4
Publication statusPublished - Apr 1 2001
Externally publishedYes

Fingerprint

Radiculopathy
Plasmacytoma
Multiple Myeloma
Epidural Neoplasms
Morganella morganii
Induction Chemotherapy
Spinal Nerve Roots
Low Back Pain
Urinary Tract Infections
Spine
Immunoglobulin G
Pathology
Kidney
Lung
Infection

Keywords

  • Extramedullary plasmacytoma
  • Multiple myeloma

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Multiple myeloma associated with extramedullary plasmacytoma causing nerve root compression : A case report. / Hu, Kuo Chi; Lin, Johnson; Chuang, Yao Chia; Cheng, Sho Jen; Chang, Kuo Ming.

In: Journal of the Formosan Medical Association, Vol. 100, No. 4, 01.04.2001, p. 277-280.

Research output: Contribution to journalArticle

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