title: Hepatic and renal plasma cell lesions in a patient with multiple myeloma in hematological remission.
abstract: Plasma cell myeloma is characterized by plasma cell infiltrations, the presence of paraprotein and mostly skeletal destruction with osteolytic lesions. Liver or kidney infiltration has been described in patients with end stage multiple myeloma (MM), while the features of this malignant dissemination is not clearly understood. An atypical form of MM relapse is presented in a patient being in bone marrow remission, with simultaneous lesions in liver, kidney and suspicion of brain involvement. This case is an interesting model of refractory MM extraosseous involvement, that a clinician should be aware of when carrying out differential diagnosis.
authors.affiliation: First Department of Internal Medicine, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece.
authors.forename: Zacharoula
authors.initials: Z
authors.lastname: Galani
authors.forename: Nora
authors.initials: N
authors.lastname: Viniou
authors.forename: Marie-Christine
authors.initials: MC
authors.lastname: Kyrtsonis
authors.forename: Sotirios
authors.initials: S
authors.lastname: Sachanas
authors.forename: Telemachos
authors.initials: T
authors.lastname: Antoniou
authors.forename: Maria N
authors.initials: MN
authors.lastname: Dimopoulou
authors.forename: Theodoros P
authors.initials: TP
authors.lastname: Vassilakopoulos
authors.forename: Penelope
authors.initials: P
authors.lastname: Korkolopoulou
authors.forename: Lydia
authors.initials: L
authors.lastname: Nakopoulou
authors.forename: Efstratios
authors.initials: E
authors.lastname: Patsouris
authors.forename: Gerassimos A
authors.initials: GA
authors.lastname: Pangalis
mesh_terms: D001853:Bone Marrow / Q000187:drug effects / Q000473:pathology* / Q000528:radiation effects; D003937:Diagnosis, Differential; D006801:Humans; D007668:Kidney / Q000473:pathology*; D008099:Liver / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000188:drug therapy / Q000473:pathology* / Q000532:radiotherapy; D010950:Plasma Cells / Q000187:drug effects / Q000473:pathology* / Q000528:radiation effects; D012074:Remission Induction