Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : April | Volume : 11 | Issue : 4 | Page : XD01 - XD03

Extramedullary Solitary Plasmacytoma: Demonstrating the Role of 18F-FDG PET Imaging

Archana Gautam, Kamal Kant Sahu, Ahsan Alamgir, Imran Siddiqi, Sikander Ailawadhi

1. Division of Hematology, Department of Oncology, Mayo Clinic, Jacksonville, FL, USA. 2. Division of Hematology, Department of Oncology, Mayo Clinic, Jacksonville, FL, USA. 3. Division of Hematology, Department of Oncology, West Virginia University, Morgantown, WV, USA. 4. Department of Pathology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. 5. Division of Hematology, Department of Oncology, Mayo Clinic, Jacksonville, FL, USA.

Correspondence Address :
Dr. Sikander Ailawadhi,
Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, USA 32224.
E-mail: ailawadhi.sikander@mayo.edu

Abstract

An Extramedullary Plasmacytoma (EMP) is characterized by a neoplastic proliferation of clonal plasma cells outside the medullary cavity. EMPs are a rare occurrence compared to other malignant plasma cell disorders and account for approximately 3-5% of plasma-cell neoplasms. Although most cases of EMP are not immediately life threatening at diagnosis, EMPs can progress to Multiple Myeloma (MM) and thus, warrant monitoring. Currently, there are no standard guidelines for when and how to monitor patients who are diagnosed with or treated for a solitary plasmacytoma. We present a case of solitary EMP who was treated adequately and definitively but developed a distinct, non-contiguous subsequent solitary EMP and was only discovered due to surveillance 18F-Fludeoxyglucose Positron Emission Tomography (18F-FDG) (PET) scan. Uniform surveillance guidelines should be developed and the potential benefits of PET and other imaging techniques as well as their cost should be considered.

Keywords

Lambda restriction, Multiple Myeloma, Surveillance

How to cite this article :

Archana Gautam, Kamal Kant Sahu, Ahsan Alamgir, Imran Siddiqi, Sikander Ailawadhi. EXTRAMEDULLARY SOLITARY PLASMACYTOMA: DEMONSTRATING THE ROLE OF 18F-FDG PET IMAGING. Journal of Clinical and Diagnostic Research [serial online] 2017 April [cited: 2017 Apr 25 ]; 11:XD01-XD03. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=April&volume=11&issue=4&page=XD01-XD03&id=9557

DOI and Others

DOI: 10.7860/JCDR/2017/22801.9557

Date of Submission: Aug 11, 2016
Date of Peer Review: Aug 18, 2016
Date of Acceptance: Nov 19, 2016
Date of Publishing: Apr 01, 2017

Financial OR OTHER COMPETING INTERESTS: None.

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