A Diagnostic Dilemma: Waldenström's Macroglobulinemia/Plasma Cell Leukemia

Waldenström's macroglobulinemia is a B-cell neoplasm characterized by infiltration of the bone marrow by a lymphoplasmacytic infiltrate and an IgM monoclonal gammopathy. It is an uncommon disease with overall incidence of approximately 3 per million persons per year, accounting for approximatel...

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Main Authors: Bhawna Sethi, K. S. Butola, Yogesh Kumar
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2012/271407
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author Bhawna Sethi
K. S. Butola
Yogesh Kumar
author_facet Bhawna Sethi
K. S. Butola
Yogesh Kumar
author_sort Bhawna Sethi
collection DOAJ
description Waldenström's macroglobulinemia is a B-cell neoplasm characterized by infiltration of the bone marrow by a lymphoplasmacytic infiltrate and an IgM monoclonal gammopathy. It is an uncommon disease with overall incidence of approximately 3 per million persons per year, accounting for approximately 1% to 2% of all hematologic cancers. It has only one-sixth the estimated prevalence of plasma cell myeloma. Disease symptoms can be due to infiltration of bone marrow and other tissue sites by malignant lymphoplasmacytic cells or due to the effects of elevated serum IgM levels. However, patients may present with constitutional symptoms only or may be asymptomatic. In our case, patient presented with chief complaints of fatigability and dyspnoea and was misdiagnosed as plasma cell leukemia on peripheral blood film and bone marrow morphology, but turned out to be a case of Waldenström's macroglobulinemia on cytoflorometry. The patient was referred for chemotherapy but expired on 10th day of admission. The suspected cause of death was cardiorespiratory failure.
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spelling doaj-art-bd11bea88b4d4f68a0531ddbd28d99ae2025-02-03T01:23:28ZengWileyCase Reports in Pathology2090-67812090-679X2012-01-01201210.1155/2012/271407271407A Diagnostic Dilemma: Waldenström's Macroglobulinemia/Plasma Cell LeukemiaBhawna Sethi0K. S. Butola1Yogesh Kumar2Department of Pathology, VCSGGMS & RI Srinagar, Pauri Garhwal, Uttarakhand, IndiaDepartment of Medicine, VCSGGMS & RI Srinagar, Pauri Garhwal, Uttarakhand, IndiaDepartment of Ophthalmology, VCSGGMS & RI Srinagar, Pauri Garhwal, Uttarakhand, IndiaWaldenström's macroglobulinemia is a B-cell neoplasm characterized by infiltration of the bone marrow by a lymphoplasmacytic infiltrate and an IgM monoclonal gammopathy. It is an uncommon disease with overall incidence of approximately 3 per million persons per year, accounting for approximately 1% to 2% of all hematologic cancers. It has only one-sixth the estimated prevalence of plasma cell myeloma. Disease symptoms can be due to infiltration of bone marrow and other tissue sites by malignant lymphoplasmacytic cells or due to the effects of elevated serum IgM levels. However, patients may present with constitutional symptoms only or may be asymptomatic. In our case, patient presented with chief complaints of fatigability and dyspnoea and was misdiagnosed as plasma cell leukemia on peripheral blood film and bone marrow morphology, but turned out to be a case of Waldenström's macroglobulinemia on cytoflorometry. The patient was referred for chemotherapy but expired on 10th day of admission. The suspected cause of death was cardiorespiratory failure.http://dx.doi.org/10.1155/2012/271407
spellingShingle Bhawna Sethi
K. S. Butola
Yogesh Kumar
A Diagnostic Dilemma: Waldenström's Macroglobulinemia/Plasma Cell Leukemia
Case Reports in Pathology
title A Diagnostic Dilemma: Waldenström's Macroglobulinemia/Plasma Cell Leukemia
title_full A Diagnostic Dilemma: Waldenström's Macroglobulinemia/Plasma Cell Leukemia
title_fullStr A Diagnostic Dilemma: Waldenström's Macroglobulinemia/Plasma Cell Leukemia
title_full_unstemmed A Diagnostic Dilemma: Waldenström's Macroglobulinemia/Plasma Cell Leukemia
title_short A Diagnostic Dilemma: Waldenström's Macroglobulinemia/Plasma Cell Leukemia
title_sort diagnostic dilemma waldenstrom s macroglobulinemia plasma cell leukemia
url http://dx.doi.org/10.1155/2012/271407
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