Cutaneous Plasmacytoma: A Case Report

Abstract

Introduction:Multiple myeloma is a rare haematological malignancy of plasma cells commonly presenting in the fifth and sixth decade. Uncommonly, multiple myeloma can present with cutaneous manifestations. Usually these lesions occur as a result of an infiltrative extension of osteolytic bone lesions. Case Presentation: A 72-year-old gentleman with a large malodorous fungating lesion on his right thigh. A skin biopsy demonstrated that the lesions are deposits of known kappa light chain plasma cell myeloma. Conclusions: Cutaneous plasmacytoma typically presents as erythematous or violaceous hard and tender nodules or plaques. Treatment involves chemotherapy, steroids, local radiotherapy and surgery. The discovery of cutaneous metastatic plasmacytomas can be the first sign of progression of the disease or signal a deteriorating clinical course in multiple myeloma therefore prompt investigation is essential.

Surgical Excision on Recurrent Furunculosis with Plasmacytosis: a Case Report

“…The lesion filled with both pus and blood without itch or pain. She had taken some medication from previous primary healthcare but there was no improvement (Asavisanu et al, 2019). The patient reported no persistent cough, drastic weight loss, joint pain, and unreasonable persistent fever.…”