Multiple myeloma of the orbit

Case contributed by A.Prof Frank Gaillard

Patient Data

Age: 45 years
Gender: Female
CT

Soft tissue mass in the superolateral aspect of the right orbit. 

Fine needle aspiration biopsy

Final Diagnosis: Right orbital mass, Plasmacytoma (see Comment).

Comment: The FNA contains numerous atypical plasma cells with prominent nucleoli, occasional binucleation, and occasional mitotic figures including atypical forms. There is no lymphoid component to suggest that this is a lymphoma with plasmacytic differentiation. Given the patient's past history of myeloma, the findings are that of a plasmacytoma representing recurrence of her disease.

Case Discussion

Patient with known multiple myeloma.

 

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Case information

rID: 6068
Case created: 15th Apr 2009
Last edited: 15th Nov 2015
System: Head & Neck
Tags: orbit, eye
Inclusion in quiz mode: Included

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