Extraosseous epidural tumor of immunoglobulin D myeloma.
We report a rare case of an immunoglobulin D (IgD) myeloma mass that occupied the lumbar epidural space. The patient presented with paraparesis combined with an extremely high concentration of serum IgD, and azotemia. A complete remission was obtained after combination chemotherapy, but the patient died from an epidural tumor in the high thoracic region 19 months after the onset of symptoms.
Matsui
H
H
Department of Orthopaedic Surgery, Toyama Medical and Pharmaceutical University, Faculty of Medicine, Japan.
Fujie
H
H
Tsuji
H
H
D004824:Epidural Space; D006801:Humans; D007072:Immunoglobulin D / Q000378:metabolism; D007142:Immunoglobulin gamma-Chains / Q000378:metabolism; D007150:Immunohistochemistry; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000378:metabolism; D009192:Myelography; D013125:Spinal Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000378:metabolism
D007072:Immunoglobulin D; D007142:Immunoglobulin gamma-Chains