Acute diplopia and a solitary lung mass: a unique presentation of light-chain myeloma.
The patient described, a 51-year-old woman, had diplopia and cephalgia of two weeks' duration. On admission, the radiologic evaluation revealed a mass in the sphenoid sinus, multiple lesions in the calvarium and a solitary lung mass. Biopsy of the lung mass revealed an atypical plasmacytic infiltration. Laboratory findings confirmed the diagnosis of light-chain myeloma presenting with a pulmonary plasmacytoma and cranial nerve involvement.
Foresman
B H
BH
Department of Medicine, University of North Texas Health Science Center at Fort Worth-Texas College of Osteopathic Medicine (TCOM), USA.
Friess
G
G
Brown
A
A
McIntosh
W
W
D000010:Abducens Nerve; D000208:Acute Disease; D003390:Cranial Nerve Neoplasms / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D004172:Diplopia / Q000209:etiology*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000473:pathology; D008875:Middle Aged; D009101:Multiple Myeloma / Q000175:diagnosis* / Q000473:pathology; D010954:Plasmacytoma / Q000175:diagnosis* / Q000473:pathology