Multiple myeloma in a patient with hoarseness, dysphagia, aspiration, and cervical lymphadenopathy.
Multiple myeloma, which primarily affects the elderly, is rare in the head and neck. We report the case of a 71-year-old man who came to us with hoarseness, dysphagia, intermittent aspiration, and cervical lymphadenopathy. Our work-up included laboratory tests, radiographic examinations, analysis of bone marrow aspiration, and histopathologic evaluations. Cervical lymph node biopsy confirmed a diagnosis of multiple myeloma. Despite treatment with chemotherapy and radiation, the patient died of his disease 6 months later.
Fortson
James K
JK
Department of Surgery, Morehouse School of Medicine, Atlanta, GA 30344, USA. jkfortson1@pol.net
Nuriddin
Ahmad
A
McCarter
Freda
F
Henderson
Vernon J
VJ
Patel
Vijaykumar
V
D044963:Biopsy, Fine-Needle; D003680:Deglutition Disorders; D006258:Head and Neck Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000503:physiopathology*; D006685:Hoarseness; D006801:Humans; D008206:Lymphatic Diseases / Q000150:complications* / Q000503:physiopathology; D009101:Multiple Myeloma / Q000188:drug therapy / Q000473:pathology / Q000503:physiopathology*; D011379:Prognosis