Liver involvement by multiple myeloma presenting as hypervascular focal lesions in a patient with chronic hepatitis B infection

Extramedullary myeloma refers to the infiltration of neoplastic monoclonal plasma cells in either organs or soft tissues. The disease is clinically and radiologically underestimated compared with the autopsy findings and is usually associated with a more aggressive clinical course and poorer outcome...

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Published inBJR case reports Vol. 2; no. 3; p. 20150013
Main Authors Marcon, Magda, Cereser, Lorenzo, Girometti, Rossano, Cataldi, Palmina, Volpetti, Stefano, Bazzocchi, Massimo
Format Journal Article
LanguageEnglish
Published England The British Institute of Radiology 01.01.2016
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Case Report
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Abstract Extramedullary myeloma refers to the infiltration of neoplastic monoclonal plasma cells in either organs or soft tissues. The disease is clinically and radiologically underestimated compared with the autopsy findings and is usually associated with a more aggressive clinical course and poorer outcome. A minority of patients with extramedullary myeloma show hepatic involvement, usually in the form of diffuse parenchymal infiltration. When focal infiltration is present, variable imaging findings have been described both on CT scan and MRI. We report the case of a 63-year-old male with hepatitis B virus-related liver disease and biopsy-proven multiple myeloma involving the liver, manifesting as hypervascular focal liver lesions on MRI. A brief review of the literature is also proposed.
AbstractList Extramedullary myeloma refers to the infiltration of neoplastic monoclonal plasma cells in either organs or soft tissues. The disease is clinically and radiologically underestimated compared with the autopsy findings and is usually associated with a more aggressive clinical course and poorer outcome. A minority of patients with extramedullary myeloma show hepatic involvement, usually in the form of diffuse parenchymal infiltration. When focal infiltration is present, variable imaging findings have been described both on CT scan and MRI. We report the case of a 63-year-old male with hepatitis B virus-related liver disease and biopsy-proven multiple myeloma involving the liver, manifesting as hypervascular focal liver lesions on MRI. A brief review of the literature is also proposed.
Author Cataldi, Palmina
Girometti, Rossano
Volpetti, Stefano
Marcon, Magda
Bazzocchi, Massimo
Cereser, Lorenzo
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Snippet Extramedullary myeloma refers to the infiltration of neoplastic monoclonal plasma cells in either organs or soft tissues. The disease is clinically and...
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Title Liver involvement by multiple myeloma presenting as hypervascular focal lesions in a patient with chronic hepatitis B infection
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