Dysphagia as an Unusual Presentation of Myeloma

Table 1

Extramedullary myeloma: growth and location, adapted from [9].

Mechanism	Location
Local growth	Soft-tissue masses arising from focal bone involvement (vertebrae, ribs, sternum, and skull)
Hematogenous spread	Single or multiple large subcutaneous tumors; Multiple nodules (skin, liver, breast, and kidney); Lymph nodes; CNS
Triggered by invasive surgical procedures	Surgical scars (laparotomy and catheter insertions); Bone surgery and/or fractures (extensive local spread)