Abstract:
:We report the case of a 59-year-old woman with Durie-Salmon stage IIIB IgGkappa multiple myeloma (MM), who presented 83 days after autologous hematopoietic stem cell transplant (HSCT) with multiple subcutaneous plasmacytomas. These lesions were confined exclusively to sites where the patient had sustained local trauma. The patient had no pre-transplant history of extramedullary disease and no evidence of plasma cells in the peripheral blood at any time throughout the course of her disease. This case represents the first report of refractory MM presenting as multiple subcutaneous plasmacytomas with specific tropism to sites of previous trauma. Selection of tumor cell subclones with unique chemokine receptor expression profiles that may explain this clinical observation is discussed.
journal_name
Am J Hematoljournal_title
American journal of hematologyauthors
Rosenblum MD,Bredeson CN,Chang CC,Rizzo JDdoi
10.1002/ajh.10296keywords:
subject
Has Abstractpub_date
2003-04-01 00:00:00pages
274-7issue
4eissn
0361-8609issn
1096-8652journal_volume
72pub_type
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