Case contributed by Dr Bruno Di Muzio


Right chest pain. Pulmonary embolism?

Patient Data

Age: 65 years
Gender: Female


Right 8th rib expansile soft tissue mass. No pulmonary embolism. 


Chest wall

US confirms a hypoechoic solid mass expanding the rib. No internal vascularization. Core-biopsy performed. 

Case Discussion

Microscopy: Both cores consist of tumor comprising sheets of atypical plasma cells. There is moderate variation in nuclear size with an occasional binucleate cell. Immunoperoxidase stains show strong and diffuse tumor cell staining for the plasma cell marker CD-138 as well as kappa light chain. There is no lambda light chain staining.

Diagnosis: Right 8th rib mass core biopsies: Plasmacytoma.

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Case information

rID: 64897
Published: 20th Oct 2019
Last edited: 2nd Nov 2019
System: Chest
Inclusion in quiz mode: Included

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