Massive pleural effusion due to IgG-Kappa subtype multiple myeloma: A case report

Multiple myeloma (MM) is a hematologic malignancy of plasma cell origin. Incidence of pleural effusion in multiple myeloma patients is approximately 6%. Myelomatous pleural effusions (MPE) are rare and occur in less than 1% of all MM cases. MPE is associated with advanced diseases, decreased surviva...

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Published inRespiratory medicine case reports Vol. 29; p. 100984
Main Authors Arunsurat, Itthiphat, Reechaipichitkul, Wipa, So-Ngern, Apichart, Ungareevittaya, Piti, Chaisuriya, Nipon, Teawtrakul, Nattiya, Ratanawatkul, Pailin, Chumpangern, Worawat
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.01.2020
Elsevier
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Summary:Multiple myeloma (MM) is a hematologic malignancy of plasma cell origin. Incidence of pleural effusion in multiple myeloma patients is approximately 6%. Myelomatous pleural effusions (MPE) are rare and occur in less than 1% of all MM cases. MPE is associated with advanced diseases, decreased survival time, and poor treatment response. In our case report, we describe a 59-year old man who presented with MPE at the initial diagnosis of MM. A diagnosis of MPE was reach through pleural fluid cytology and pleural tissue histology. The MPE had good response to initial dexamethasone without local therapy.
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ISSN:2213-0071
2213-0071
DOI:10.1016/j.rmcr.2019.100984