Multiple myeloma presenting as cervical lymphadenopathy in a 16-year-old boy.
A 16-year-old boy presented with cervical lymphadenopathy and histological features of a plasmacytoma. He was found to have lytic bone lesions, a serum IgA M-protein, and elevated beta 2-microglobulin. There was absence of anemia, hypercalcemia, and marrow plasmacytosis. He received local irradiation and 6 courses of chemotherapy comprising vincristine, adriamycin, and dexamethasone given at 4 weekly intervals. This was followed by complete resolution of his disease, and he remains clinically well 5 years after completion of therapy.
Brady-West
Doreen C
DC
Department of Pathology, Faculty of Medical Sciences, University of the West Indies, Mona, Kingston, Jamaica. drbradywest@hotmail.com
Buchner-Daley
Loretta M
LM
McGrowder
Donovan A
DA
Taylor-Houston
Joye
J
West
Kamille A
KA
D000293:Adolescent; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D006258:Head and Neck Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D006801:Humans; D008206:Lymphatic Diseases / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D008297:Male; D009101:Multiple Myeloma / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*