Extramedullary Plasmacytoma Involving the Abdominal Vessels and Pancreas


To the Editor: We read with great interest the article by Attwell and colleagues [1] in a recent issue of Digestive Diseases and Sciences that described a case of IgA multiple myeloma (MM) involving two unusual extramedullary sites: the porta hepatis and peritoneum. The involvement of abdominal vessels and pancreas by plasma cell neoplasms is very rare and usually diagnosed at autopsy [1–3]. We would like to describe and share our experience in a patient with known MM who developed plasmacytoma on the chest wall and in the abdomen involving the abdominal vessels and pancreas, without concurrent relapse of the disease, and to add some points concerning the treatment of extramedullary plasmacytomas (EMP). A 64-year-old-man was diagnosed to have stage II MM of the IgA(λ) subtype in 2001. He was given a chemotherapy regimen with six courses of melphalan and prednisolone and achieved a plateau phase. In 2002, at the sixth month of the

DOI: 10.1007/s10620-005-9044-6

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@article{Ali2005ExtramedullaryPI, title={Extramedullary Plasmacytoma Involving the Abdominal Vessels and Pancreas}, author={Rıdvan Ali and Fahir Ozkalemkaş and Tulay Ozcelik and Atilla Ozkan and Vildan Ozkocaman and H. Serdar Ozturk and Meral Kurt and Yurtkuran M Sadikoglu and Gulsah Elbuken-Ozer and Ahmet Tunali}, journal={Digestive Diseases and Sciences}, year={2005}, volume={52}, pages={3199-3201} }