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Case Reports in Medicine
Volume 2013, Article ID 291359, 3 pages
Case Report

Multiple Extramedullary Plasmacytoma with Lytic Bony Lesions: A Rare Case Report

1Department of Surgery, Rajindra Hospital, Patiala 147001, India
2Department of Radiotherapy, Rajindra Hospital, Patiala 147001, India

Received 21 November 2012; Accepted 16 January 2013

Academic Editor: Abhay R. Satoskar

Copyright © 2013 Akhlak Hussain et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. Multiple extramedullary plasmacytoma lesions involving subcutaneous tissue, breast, mediastinal tissue, spleen, and soft tissue of pelvic region along with multiple bones plasmacytomas without marrow plasmacytosis are a very rare presentation. Design. Case report. Result. A 54-year-old female was found to have multiple small bony lytic lesions, multiple extramedullary soft tissue plasmacytomas, serum M protein >3 g/dL, and elevated ESR. Bone marrow aspirate did not reveal any evidence of multiple myeloma/plasmacytosis. There was no anemia, hypercalcemia, or renal insufficiency. Conclusion. Extramedullary plasmacytoma can involve multiple organs at a time including bones and soft tissue without involving bone marrow.