Multiple myeloma affecting the skull base

Case contributed by Dr Charlie Chia-Tsong Hsu

Presentation

70 year old male. Fall and head strike. Exclude intracranial haemorrhage.

Patient Data

Age: 70
Gender: Male

There is a soft tissue mass arising from the marrow of the clivus with cortical expansion and destruction. No local infiltration observed at this stage. A further osteolytic soft tissue mass is present at the right transverse process of C2.

Case Discussion

Typical location for myelomatous lesion in the skull base include Clivus, petrous apex, occipital condyle, greater wing of sphenoid with additional lytic foci of calvaria & facial bones. 

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Case information

rID: 19892
Case created: 21st Oct 2012
Last edited: 17th Dec 2015
Inclusion in quiz mode: Included

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