Non Excretory Myeloma Presenting As A Liver Nodule On Ultrasound

Voet, Dirk; Hamers, J.; Dendooven, M.; Nachtegaele, P; Rattinghe, R. Van; Afschrift, Marcel; Kunnen, Marc; Verdonk, G

doi:10.1080/22953337.1983.11718965

Cited by 14 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4 One older report described a solitary hyperechoic hepatic nodule employing B-mode scanning. 7 Myelomatous hepatic involvement presenting as multiple hyperechoic nodules has not, to the best of our knowledge, been described previously. Multiple hyperechoic liver lesions usually represent metastatic disease from a gastrointestinal primary tumor, especially colon carcinoma, or from a vascular malignancy, such as carcinoid, renal cell carcinoma, or islet cell tumor.…”

Section: Case Reportmentioning

confidence: 86%

“…There are only six previous reports of radiographic demonstration of space-occupying liver lesions in myeloma, five of which included sonographic evaluation along with one case diagnosed by nuclear medicine liver scan alone. [3][4][5][6][7][8] Of the five reports with ultrasound findings, three cases demonstrated multiple hypoechoic lesions in the liver. 3,5,6 A single ''target'' lesion was presented in one report which appeared as a predominantly isoechoic nodule with a clear hypoechoic rim.…”

Section: Case Reportmentioning

confidence: 93%

“…9 The literature regarding the CT appearance of myelomatous liver involvement is also very limited, consisting of three reports which included abdominal CT in addition to ultrasound. 4,6,7 One case describes a low attenuation liver nodule in images obtained both on pre-and post-injection of intravenous contrast. 7 The other cases depict low attenuation nodules on either unenhanced 4 or enhanced 6 images only.…”

Section: Case Reportmentioning

confidence: 99%

“…There are only five previous reports in the literature describing the sonographic appearance of myelomatous lesions of the liver. [3][4][5][6][7] Three cases demonstrated multiple hypoechoic nodules, one case showed a ''target'' lesion with a hypoechoic periphery, and one patient had a solitary hyperechoic nodule. We believe this is the first reported case of liver involvement in multiple myeloma appearing as multiple hyperechoic nodules.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Myelomatous involvement of the liver: Unusual ultrasound appearance

Simmons

Miller

Levine

et al. 1997

J. Clin. Ultrasound

View full text Add to dashboard Cite

Section: Case Reportmentioning

confidence: 86%

Section: Case Reportmentioning

confidence: 93%

Section: Case Reportmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Myelomatous involvement of the liver: Unusual ultrasound appearance

Simmons

Miller

Levine

et al. 1997

J. Clin. Ultrasound

View full text Add to dashboard Cite

“…The majority of reported cases describe hypodense hepatic nodules on CT [12][13][14]. Some hypervascular hepatic plasmacytoma are described as nodules with peripheric enhancement or with gradual filling towards the center of the lesion [15][16][17].…”

Section: Discussionmentioning

confidence: 99%

CT features of abdominal plasma cell neoplasms

et al. 2005

View full text Add to dashboard Cite

The aim of this study was to describe the CT features of abdominal plasma cell neoplasms. We reviewed CT imaging findings in 11 patients (seven men, four women; mean age 62 years) with plasma cell neoplasms and abdominal involvement. Helical CT of the entire abdomen and pelvis was performed following intravenous administration of contrast material. Images were analyzed in consensus by two radiologists. Diagnoses were made from biopsy, surgery and/or clinical follow-up findings. Multiple myeloma was found in seven patients and extramedullary plasmacytoma in four patients. All patients with multiple myeloma had multifocal disease with involvement of perirenal space (4/7), retroperitoneal and pelvic lymph nodes (3/7), peritoneum (3/7), liver (2/7), subcutaneous tissues (2/7) and kidney (1/7). In three of the four patients with extramedullary plasmacytoma, a single site was involved, namely stomach, vagina and retroperitoneum. In the fourth patient, a double site of abdominal involvement was observed with rectal and jejunal masses. Plasma cell neoplasm should be considered in the differential diagnosis of single or multiple enhancing masses in the abdomen or pelvis. Abdominal plasma cell neoplasms were most frequently seen as well-defined enhancing masses (10/11).

show abstract