Multiple myeloma

Case contributed by Dr Ayush Goel

Presentation

Swelling in the forehead and back pain.

Patient Data

Age: 60 years old
Gender: Male
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 tumor (e.g. osteosarcoma)
  • dural tumor (e.g. meningioma or hemangiopericytoma)

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

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