Extramedullary Solitary Plasmacytoma: Demonstrating the Role of 18F-FDG PET ImagingCorrespondence Address :
Dr. Sikander Ailawadhi,
Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, USA 32224.
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.
Lambda restriction, Multiple myeloma, Surveillance
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 May 30 ]; 11:XD01-XD03. Available from
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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