Pancreatic head mass of unusual etiology: multiple myeloma diagnosed by endoscopic ultrasound-guided fine needle aspiration

Pinto-Marques, Pedro; Martins, Cláudio; Mendonça, Evelina; Castro, Heloísa Amélia de Lima; Serra, David

doi:10.1055/s-0030-1255659

Cited by 6 publications

(4 citation statements)

References 6 publications

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“…Extramedullary plasmacytoma involvement is not an uncommon presentation, occurring in 10 %-15 % of patients[ 3 ]. They are commonly identified after the diagnosis of multiple myeloma.…”

Section: Discussionmentioning

confidence: 99%

Difficult endoscopic diagnosis of a pancreatic plasmacytoma: Case report and review of literature

Williet¹,

Kassir²,

Cuilleron³

et al. 2017

WJCO

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A 71-year-old man, with history of plasmacytoma in relapse since one year, was hospitalized for a initial presentation of acute pancreatitis and hepatitis. Although there was a heterogeneous infiltration around the pancreas head, the diagnosis of an extramedullary localization of his plasmacytoma was not made until later. This delayed diagnosis was due to the lack of specific radiologic features and the lack of dilatation of biliary ducts at the admission. A diagnosis was made with a simple ultrasound guided paracentesis of the low abundance ascites after a transjugular hepatic biopsy, an endoscopic ultrasound-guided fine needle aspiration of the pancreatic mass, and a failed attempt of biliary drainage through endoscopic retrograde cholangiopancreatography. In order to document the difficulty of this diagnosis, characteristics of 63 patients suffering from this condition and diagnosis were identified and discussed through a systematic literature search.

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“…Extramedullary plasmacytoma involvement is not an uncommon presentation, occurring in 10 %-15 % of patients[ 3 ]. They are commonly identified after the diagnosis of multiple myeloma.…”

Section: Discussionmentioning

confidence: 99%

Difficult endoscopic diagnosis of a pancreatic plasmacytoma: Case report and review of literature

Williet¹,

Kassir²,

Cuilleron³

et al. 2017

WJCO

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“…A pancreatic head mass of unusual etiology was discussed: multiple myeloma diagnosed by endoscopic ultrasound-guided fine needle aspiration[21]. …”

Section: Multiple Myelomamentioning

confidence: 99%

Non-pancreatic cancer tumors in the pancreatic region

Andrén‐Sandberg¹

2011

North Am J Med Sci

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Most of tumors found in the pancreas are adenocarcinoma of the pancreas. A small number of tumors in the pancreas, such as islet cell tumors or neuroendocrine tumors, papillary cystic neoplasms, lymphoma, acinar cell tumors, metastatic tumors to the pancreas often, have a far better prognosis, and the majority of these tumors are non-malignant or benign. The author reviewed the recent literatures, and summarized where the tumor comes originally in the pancreas, what is the type of the tumor, and how to treat the tumor.

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“…As shown in Table 1 . 4,16,18,27,28,34 This finding suggests that secondary pancreatic plasmacytoma is an indication for uncontrolled myeloma progression but may be the first or only manifestation of myeloma recurrence.…”

mentioning

confidence: 95%

Obstructive jaundice caused by pancreatic plasmacytoma secondary to multiple myeloma: A case report and literature review

Jiang

Liu

Zhu

et al. 2020

J of Digest Diseases

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To the Editor, Multiple myeloma is the second most common malignant tumor of the hematologic system. The main pathological manifestation of multiple myeloma is the massive proliferation of clonal plasma cells in the bone marrow. 1 Approximately 5% of patients with multiple myeloma develop extramedullary plasmacytoma during the course of the disease, among which extramedullary plasmacytoma of the pancreas is rare. 2 Pancreatic plasmacytoma typically presents as a substantial mass of the pancreas that is difficult to be differentiated from other tumors, such as carcinomas, islet cell tumors, lymphomas and metastatic tumors. 3 Moreover, knowledge on the treatment of these patients has been limited so far. Here we described a case with multiple myeloma who presented with jaundice as the main manifestation and was diagnosed as having pancreatic plasmacytoma. We also reviewed the published literatures and summarized the clinical characteristics, diagnostic methods, treatment strategies and patient prognosis of multiple myeloma with involvement of the pancreas. A 49-year-old man was diagnosed with multiple myeloma (immunoglobulin G [IgG] λ type) at our hospital in 2012. He received eight cycles of systemic chemotherapy using melphalan, prednisone, vincris

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Pancreatic head mass of unusual etiology: multiple myeloma diagnosed by endoscopic ultrasound-guided fine needle aspiration

Cited by 6 publications

References 6 publications

Difficult endoscopic diagnosis of a pancreatic plasmacytoma: Case report and review of literature

Difficult endoscopic diagnosis of a pancreatic plasmacytoma: Case report and review of literature

Non-pancreatic cancer tumors in the pancreatic region

Obstructive jaundice caused by pancreatic plasmacytoma secondary to multiple myeloma: A case report and literature review

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