A Case Report of Extramedullary Myeloma Mimicking Lymphoma with Extensive Abdominal Involvement
10.3348/jksr.2019.80.5.997
- Author:
Jihae MOON
1
;
Jeong Ah HWANG
;
Hyeong Cheol SHIN
;
Seung Soo KIM
;
Ji Hye LEE
;
Ji Eun LEE
;
Seo Youn CHOI
;
Min Young LEE
Author Information
1. Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Korea. jeongah.h09@gmail.com
- Publication Type:Case Report
- From:Journal of the Korean Radiological Society
2019;80(5):997-1002
- CountryRepublic of Korea
- Language:English
-
Abstract:
Extramedullary myeloma refers to the presence of myeloma deposits outside the skeletal system and typically indicates a poor prognosis associated with shorter overall survival and progression- free survival. We report a case of extramedullary myeloma with extensive, abdominal multi-organ involvement mimicking lymphoma at initial diagnosis. Bulky retroperitoneal masses with severe diffusion restriction and patency of encased vessels can be MR findings of both myeloma and lymphoma. Radiologic findings such as arterial hyperenhancement, obstructive uropathy, and the lack of associated lymphadenopathy may favor a diagnosis of myeloma over lymphoma.
