Incidental Discovery of Multiorgan Extramedullary Plasmacytomas in the Setting of Newly Diagnosed Multiple Myeloma and Delayed Hemolytic Transfusion Reaction

Extramedullary plasmacytomas (EMPs) are defined by the presence of clonal plasma cell proliferation outside of the bone marrow, portending an overall poor prognosis. This case highlights extramedullary plasmacytomas as an unusual presenting manifestation of multiple myeloma. Through incidental disco...

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Main Authors: Joselle Cook, Steven Song, Anthony Ventimiglia, Carol Luhrs
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2017/4531858
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author Joselle Cook
Steven Song
Anthony Ventimiglia
Carol Luhrs
author_facet Joselle Cook
Steven Song
Anthony Ventimiglia
Carol Luhrs
author_sort Joselle Cook
collection DOAJ
description Extramedullary plasmacytomas (EMPs) are defined by the presence of clonal plasma cell proliferation outside of the bone marrow, portending an overall poor prognosis. This case highlights extramedullary plasmacytomas as an unusual presenting manifestation of multiple myeloma. Through incidental discovery during a delayed hemolytic transfusion reaction workup, EMPs were found in the liver, spleen, and possibly the lung. Though rare at presentation, this case emphasizes that the presence of EMPs should be considered at the outset as it not only impacts the treatment regimen for such patients but also considerably affects prognosis.
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spelling doaj-art-de90168e52bc4e45b4bd507fc01aa06e2025-02-03T07:24:39ZengWileyCase Reports in Hematology2090-65602090-65792017-01-01201710.1155/2017/45318584531858Incidental Discovery of Multiorgan Extramedullary Plasmacytomas in the Setting of Newly Diagnosed Multiple Myeloma and Delayed Hemolytic Transfusion ReactionJoselle Cook0Steven Song1Anthony Ventimiglia2Carol Luhrs3Department of Medicine, SUNY Downstate Medical Center, Brooklyn, NY 11203, USADepartment of Medicine, SUNY Downstate Medical Center, Brooklyn, NY 11203, USACollege of Medicine, SUNY Downstate Medical Center, Brooklyn, NY 11203, USADivision of Hematology and Oncology, SUNY Downstate Medical Center, Brooklyn, NY 11203, USAExtramedullary plasmacytomas (EMPs) are defined by the presence of clonal plasma cell proliferation outside of the bone marrow, portending an overall poor prognosis. This case highlights extramedullary plasmacytomas as an unusual presenting manifestation of multiple myeloma. Through incidental discovery during a delayed hemolytic transfusion reaction workup, EMPs were found in the liver, spleen, and possibly the lung. Though rare at presentation, this case emphasizes that the presence of EMPs should be considered at the outset as it not only impacts the treatment regimen for such patients but also considerably affects prognosis.http://dx.doi.org/10.1155/2017/4531858
spellingShingle Joselle Cook
Steven Song
Anthony Ventimiglia
Carol Luhrs
Incidental Discovery of Multiorgan Extramedullary Plasmacytomas in the Setting of Newly Diagnosed Multiple Myeloma and Delayed Hemolytic Transfusion Reaction
Case Reports in Hematology
title Incidental Discovery of Multiorgan Extramedullary Plasmacytomas in the Setting of Newly Diagnosed Multiple Myeloma and Delayed Hemolytic Transfusion Reaction
title_full Incidental Discovery of Multiorgan Extramedullary Plasmacytomas in the Setting of Newly Diagnosed Multiple Myeloma and Delayed Hemolytic Transfusion Reaction
title_fullStr Incidental Discovery of Multiorgan Extramedullary Plasmacytomas in the Setting of Newly Diagnosed Multiple Myeloma and Delayed Hemolytic Transfusion Reaction
title_full_unstemmed Incidental Discovery of Multiorgan Extramedullary Plasmacytomas in the Setting of Newly Diagnosed Multiple Myeloma and Delayed Hemolytic Transfusion Reaction
title_short Incidental Discovery of Multiorgan Extramedullary Plasmacytomas in the Setting of Newly Diagnosed Multiple Myeloma and Delayed Hemolytic Transfusion Reaction
title_sort incidental discovery of multiorgan extramedullary plasmacytomas in the setting of newly diagnosed multiple myeloma and delayed hemolytic transfusion reaction
url http://dx.doi.org/10.1155/2017/4531858
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