Oral Lesion as Unusual First Manifestation of Multiple Myeloma: Case Reports and Review of the Literature

Extramedullary plasmacytoma (EMP) and solitary bone plasmacytoma (SBP) represent a disease continuum through a multistage process of cell differentiation, survival, proliferation, and dissemination, strictly related to multiple myeloma (MM), the second most common hematological malignancy. Herein, w...

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Main Authors: A. Romano, M. S. Marescalco, Chiara Liardo, L. Villari, C. Vetro, C. Conticello, F. Di Raimondo, S. Ferlito
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2014/529452
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author A. Romano
M. S. Marescalco
Chiara Liardo
L. Villari
C. Vetro
C. Conticello
F. Di Raimondo
S. Ferlito
author_facet A. Romano
M. S. Marescalco
Chiara Liardo
L. Villari
C. Vetro
C. Conticello
F. Di Raimondo
S. Ferlito
author_sort A. Romano
collection DOAJ
description Extramedullary plasmacytoma (EMP) and solitary bone plasmacytoma (SBP) represent a disease continuum through a multistage process of cell differentiation, survival, proliferation, and dissemination, strictly related to multiple myeloma (MM), the second most common hematological malignancy. Herein, we report two cases of recurrent oral plasmacytoma progressed to MM, in which the first clinical sign of a more widespread disease was limited to the mouth. Based on our experience, we recommend a strict workup for the differential diagnosis between EMP, SBP, and MM for patients with oral plasmacytoma, including radiological exam of the skeleton, magnetic resonance imaging (MRI) of the bone, and positive emission tomography (FDG-PET). MRI and possibly PET can all be used to more sensitively detect EM plasmacytoma sites.
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publishDate 2014-01-01
publisher Wiley
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series Case Reports in Hematology
spelling doaj-art-382880d020e24c15940e09c2dd7678e52025-02-03T01:03:13ZengWileyCase Reports in Hematology2090-65602090-65792014-01-01201410.1155/2014/529452529452Oral Lesion as Unusual First Manifestation of Multiple Myeloma: Case Reports and Review of the LiteratureA. Romano0M. S. Marescalco1Chiara Liardo2L. Villari3C. Vetro4C. Conticello5F. Di Raimondo6S. Ferlito7Department of Clinical and Molecular Biomedicine, Section of Haematology, University of Catania, Via Citelli 6, 95124 Catania, ItalyDepartment of Clinical and Molecular Biomedicine, Section of Haematology, University of Catania, Via Citelli 6, 95124 Catania, Italy1st Section of Dentistry, Department of Surgery, University of Catania, Via Citelli 6, 95124 Catania, ItalyDivision of Pathology, AOU “Policlinico-Vittorio Emanuele”, Via Plebiscito 628, 95100 Catania, ItalyDepartment of Clinical and Molecular Biomedicine, Section of Haematology, University of Catania, Via Citelli 6, 95124 Catania, ItalyDepartment of Clinical and Molecular Biomedicine, Section of Haematology, University of Catania, Via Citelli 6, 95124 Catania, ItalyDepartment of Clinical and Molecular Biomedicine, Section of Haematology, University of Catania, Via Citelli 6, 95124 Catania, Italy1st Section of Dentistry, Department of Surgery, University of Catania, Via Citelli 6, 95124 Catania, ItalyExtramedullary plasmacytoma (EMP) and solitary bone plasmacytoma (SBP) represent a disease continuum through a multistage process of cell differentiation, survival, proliferation, and dissemination, strictly related to multiple myeloma (MM), the second most common hematological malignancy. Herein, we report two cases of recurrent oral plasmacytoma progressed to MM, in which the first clinical sign of a more widespread disease was limited to the mouth. Based on our experience, we recommend a strict workup for the differential diagnosis between EMP, SBP, and MM for patients with oral plasmacytoma, including radiological exam of the skeleton, magnetic resonance imaging (MRI) of the bone, and positive emission tomography (FDG-PET). MRI and possibly PET can all be used to more sensitively detect EM plasmacytoma sites.http://dx.doi.org/10.1155/2014/529452
spellingShingle A. Romano
M. S. Marescalco
Chiara Liardo
L. Villari
C. Vetro
C. Conticello
F. Di Raimondo
S. Ferlito
Oral Lesion as Unusual First Manifestation of Multiple Myeloma: Case Reports and Review of the Literature
Case Reports in Hematology
title Oral Lesion as Unusual First Manifestation of Multiple Myeloma: Case Reports and Review of the Literature
title_full Oral Lesion as Unusual First Manifestation of Multiple Myeloma: Case Reports and Review of the Literature
title_fullStr Oral Lesion as Unusual First Manifestation of Multiple Myeloma: Case Reports and Review of the Literature
title_full_unstemmed Oral Lesion as Unusual First Manifestation of Multiple Myeloma: Case Reports and Review of the Literature
title_short Oral Lesion as Unusual First Manifestation of Multiple Myeloma: Case Reports and Review of the Literature
title_sort oral lesion as unusual first manifestation of multiple myeloma case reports and review of the literature
url http://dx.doi.org/10.1155/2014/529452
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