Clinical case of giant extramedullar plasmacytoma in a patient with multiple myeloma
- Authors: Safuanova G.S.1, Mansurova Y.R.1, Latypova A.A.2, Bagautdinova А.U.2, Rozhenkova T.Y.2, Valiakhmetova C.K.2
-
Affiliations:
- Bashkir State Medical University, Ministry of Health of Russia
- G.G. Kuvatov Republican Clinical Hospital
- Issue: Vol 18, No 4 (2023)
- Pages: 58-63
- Section: HEMATOLOGIC MALIGNANCIES: TREATMENT
- Published: 07.12.2023
- URL: https://oncohematology.abvpress.ru/ongm/article/view/867
- DOI: https://doi.org/10.17650/1818-8346-2023-18-4-58-63
- ID: 867
Cite item
Full Text
Abstract
One possible manifestation of multiple myeloma may be extramedullary plasmacytoma, manifested by infiltration of plasma cells outside the bone marrow. In the debut of the disease, bone plasmacytomas are most often diagnosed, in contrast to extramedullary ones, which are rare. According to the literature, the presence of extramedullary plasmacytoma is an unfavorable factor characterized by an aggressive disease course, the absence of an antitumor response to standard therapy, and low overall survival rates. Therefore, the pathogenesis, clinic, diagnosis and treatment of this variant of the disease require additional study. This article presents a clinical case of an aggressive course of extensive extramedullary plasmacytoma in a patient with multiple myeloma with an assessment of various combination therapy regimens efficacy.
About the authors
G. Sh. Safuanova
Bashkir State Medical University, Ministry of Health of Russia
Author for correspondence.
Email: safuanova@bk.ru
ORCID iD: 0000-0003-2627-0626
Guzyal Sh. Safuanova
3 Lenina St., Ufa 450008
Russian FederationYu. R. Mansurova
Bashkir State Medical University, Ministry of Health of Russia
ORCID iD: 0000-0002-4503-8200
3 Lenina St., Ufa 450008
Russian FederationA. A. Latypova
G.G. Kuvatov Republican Clinical Hospital
ORCID iD: 0000-0002-9508-3878
132 Dostoevskogo St., Ufa 450005
Russian FederationА. U. Bagautdinova
G.G. Kuvatov Republican Clinical Hospital
ORCID iD: 0000-0002-7021-7470
132 Dostoevskogo St., Ufa 450005
Russian FederationT. Yu. Rozhenkova
G.G. Kuvatov Republican Clinical Hospital
ORCID iD: 0009-0009-1956-3034
132 Dostoevskogo St., Ufa 450005
Russian FederationCh. Kh. Valiakhmetova
G.G. Kuvatov Republican Clinical Hospital
ORCID iD: 0009-0000-7156-7280
132 Dostoevskogo St., Ufa 450005
Russian FederationReferences
- Clinical recommendations “Multiple myeloma”, 2020.
- Firsova M.V., Risinskaya N.V., Solovev M.V. et al. Multiple myeloma with extramedullary plasmacytoma: pathogenesis and clinical case. Onkogematologiya = Oncohematology 2022;17(4):67–80. (In Russ.). doi: 10.17650/1818¬8346-2022¬17¬4¬67¬80
- Thais Rodrigues da Cunha Fischer, Higashi F., de Queiroz Crusoe E., de Moraes Hungria V.T. Bilateral breast plasmacytoma: a clinical case report. Rev Bras Hematol Hemoter 2016;38(2): 166–9. doi: 10.1016/j.bjhh.2016.03.003
- Rosiñol L., Beksac M., Zamagni E. et al. Expert review on soft tissue plasmacytomas in multiple myeloma: definition, disease assessment and treatment considerations. Br J Haematol 2021;194(3):496–507. doi: 10.1111/bjh.17338
- Parrondo R.D., Roy V., Sher T. et al. Use of KRD-PACE as salvage therapy in aggressive, relapsed/bortezomib-refractory extramedullary multiple myeloma: a report of two cases and literature review. Case Rep Hematol 2020;2020:4360926. doi: 10.1155/2020/4360926
- Mangiacavalli S., Pompa A., Ferretti V. et al. The possible role of burden of therapy on the risk of myeloma extramedullary spread. Ann Hematol 2017;96(1):73–80. doi: 10.1007/s00277-016-2847-z
- Fokina E.S., Lagunova O.R., Dokshina I.A. et al. Experience in the treatment of multiple myeloma with an extramedullary component using platinum-containing PACE regimens. All-Russian scientific and practical conference with international participation “Topical issues of hematology and transfusiology” dedicated to the 90th anniversary of the Russian Scientific Research Institute of Hematology and Transfusiology. Vestnik gematologii = Bulletin of Hematology 2022;91. (In Russ.).
- Nakastoev I.M., Novikova A.A., Grachev A.E. et al. Effectiveness of VRD-PACE chemotherapy regimens in patients with multiple myeloma with resistance to first-line therapy. Gematologiya i transfuziologiya = Hematology and Transfusiology 2020;65(S1):187. (In Russ.).
- https://meduniver.com/Medical/gematologia/xromosomnie_anomalii_pri_ostrom_limfoblastnom_leikoze.htmlMedUniver.
Supplementary files

