Multiple myeloma

Case contributed by Dr Ayush Goel

Presentation

Swelling in the forehead and back pain.

Patient Data

Age: 60 years old
Gender: Male
Modality: CT

A lytic lesion in the frontal bone with cortical destruction and soft tissue component extending into the scalp, extradural space and into the frontal sinus.

The patient had a spinal screening which revealed multiple lytic lesions in vertebrae (Not shown here).

Incidental right side concha bullosa.

Case Discussion

A skull mass such as this has a limited differential including:

  • metastasis
  • multiple myeloma
  • primary osseous tumour (e.g. osteosarcoma)
  • dural tumour (e.g. meningioma or hemangiopericytoma)

In this instance, it was pathologically proven to be multiple myeloma.

PlayAdd to Share

Case Information

rID: 28007
Case created: 4th Mar 2014
Last edited: 13th Mar 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.