Korean J Intern Med.  2005 Jun;20(2):183-186. 10.3904/kjim.2005.20.2.183.

A Case of Primary Plasmacytoma of Lymph Nodes

• Lim YH
• Park SK
• Oh HS
• Choi JH
• Ahn MJ
• Lee YY
• Kim IS

• KMID: 1718045
• DOI: http://doi.org/10.3904/kjim.2005.20.2.183

Abstract

Extramedullary plasmacytoma may originate in any organ, either as a primary tumor or as a facet of systemic multiple myeloma. These solid lesions most commonly affect the upper respiratory tract, gastrointestinal and urogenital tract, skin, and lung. Primary plasmacytoma of the lymph node is a rare hematologic neoplasm, which usually manifests as an enlargement of the cervical lymph nodes with no evidence of any other plasma cell dyscrasia. A 56-year-old man was admitted, due to the presence of multiple palpable masses in the right cervical and submandibular areas. Surgical resection revealed plasmacytoma of the lymph nodes. According to our full work-up, no evidence of the systemic involvement of plasma cell dyscrasia was discovered and thus, the diagnosis of primary plasmacytoma of the lymph node was made. Radiotherapy was administered, and the remnant mass was reduced substantially, to 1 x 2 cm in size. The patient was scheduled to be monitored by a PET CT scan, as well as by a neck CT scan.

Keyword

Plasmacytoma; Lymph nodes; Paraproteinemias

MeSH Terms

Biopsy, Needle
Bone Marrow/pathology
Diagnosis, Differential
Humans
Lymph Node Excision
*Lymph Nodes/pathology/radiography
Male
Middle Aged
Neck
Plasmacytoma/*diagnosis/surgery
Tomography, X-Ray Computed