[Focal liver lesions in multiple myeloma: ecography, computed tomography, and magnetic resonance findings. A case report].
According to autopsy data, diffuse hepatic infiltration occurs in up to 50% of cases with multiple myeloma. However, focal infiltration (single or multiple), although exceptional, is also possible. Therefore, multiple myeloma should be included in the extensive differential diagnosis of space-occupying liver lesions. We present the case of a 71-year-old man diagnosed with multiple myeloma with multiple focal lesions in the liver and spleen studied by different imaging techniques (ultrasound, multi-phase computed tomography and magnetic resonance). The definitive diagnosis was made by immunohistochemical analysis of material obtained by US-guided fine needle aspiration. We review the imaging findings reported in the literature for focal liver lesions in multiple myeloma and in extramedullary plasmacytoma of the liver.
Pérez Gil
M A
MA
Servicio de Radiodiagnóstico, Hospital Virgen de la Luz, Cuenca, España. MPGILRX@telefonica.net
Ruiz Recuento
J
J
Relanzón Molinero
S
S
Martínez Yunta
J A
JA
D000368:Aged; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000556:secondary*; D008279:Magnetic Resonance Imaging; D008297:Male; D009101:Multiple Myeloma / Q000556:secondary*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography