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[Clinical Picture] Soft tissue plasmacytomas in multiple myeloma

20:39 EDT 22 Aug 2017 | The Lancet

A 50-year-old man was transferred to our hospital with a 3-week history of back pain and a mass on his skull that had been growing slowly for the past 7 months. The mass was smooth, firm, and non-tender. Despite his long hair, it gave him the appearance of having a high domed forehead. Examination was otherwise unremarkable. Laboratory investigations showed renal impairment, hypercalcaemia, anaemia, and immunoparesis. Lambda light chains were detected in the urine and the serum. Magnetic resonance scans of the brain (figure) and spine (appendix) showed soft tissue lesions over the skull and thoracic spine.

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