Dural plasmacytoma revealing multiple myeloma. Case report

Journal of Neurosurgery
Claire HaegelenXavier Morandi

Abstract

The authors describe the case of a 72-year-old woman with dural plasmacytoma revealing an immunoglobulin (Ig) G-kappa multiple myeloma (MM). She presented with headaches and left hemiparesis. Magnetic resonance imaging demonstrated a right frontal extraaxial lesion arising from the dura mater, and biological studies revealed hypercalcemia, hyperproteinemia, and a serum gamma globulin peak. A diagnosis of IgG-kappa MM was based on microscopic examination and immunohistochemical analysis of the dural plasmacytoma as well as on signs of systemic myeloma after surgery. The patient died 3 years after the first symptoms of MM despite systemic chemotherapy and no recurrence of the dural plasmacytoma. Myelomatous involvement of the dura mater is a rare occurrence given that only three cases have been reported to date. Nevertheless, this pathological entity should be differentiated from solitary dural plasmacytoma (SDP) because the prognosis is radically different. Progression seems to be correlated with systemic disease in contrast to the long-term survival associated with SDP. Careful systemic evaluation should be made in such a presentation to rule out MM, which would require different management and has a different prognosis.

References

Oct 1, 1970·Archives of Internal Medicine·J E MaldonadoH Okazaki
Jun 1, 1995·Neurosurgery·K Benli, S Inci
Nov 1, 1993·AJR. American Journal of Roentgenology·L A MoulopoulosH I Libshitz
Aug 1, 1997·Annals of Oncology : Official Journal of the European Society for Medical Oncology·C LebrunM Chatel
Jul 13, 2000·Journal of Clinical Pathology·P RoddieP Johnson
Jun 16, 2001·Hematology·IRFAN Maghfoor, MICHAEL C. Perry
Nov 10, 2001·Hematology·Kenneth C. AndersonJames Berenson
Jan 18, 2002·Annals of Hematology·F PatriarcaR Fanin

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Citations

May 15, 2010·International Journal of Hematology·Masahiro ManabeHirofumi Teshima
Apr 1, 2009·Biomedical Imaging and Intervention Journal·Nn RahmahK Hongo
Nov 18, 2008·Journal of Neurosurgery·Joo-Hun David EumHeinrich Ebel
May 21, 2009·European Journal of Clinical Investigation·R RiaF Dammacco
Apr 4, 2007·Acta neurochirurgica·I ZazpeE Portillo
May 30, 2017·Rinshō shinkeigaku = Clinical neurology·Shintaro HayashiKoichi Okamoto

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Methods Mentioned

BETA
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biopsy
bone marrow aspiration

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