title: Relapse of multiple myeloma presenting with biliary obstruction.
abstract: Pancreatic infiltration is a rare feature of multiple myeloma. A case of a 74-year-old man presenting with symptomatic biliary obstruction two years after the original diagnosis of myeloma is described. Confirmation of pancreatic infiltration with myeloma cells was performed by endoscopic ultrasound-guided fine-needle aspiration. Biliary stenting was performed at endoscopic retrograde cholangiopancreatography. Resolution of the pancreatic mass and the associated biliary stricture was observed after radiation and chemotherapy.
authors.affiliation: University of British Columbia, Division of Gastroenterology, Vancouver General Hospital, British Columbia.
authors.forename: Alan
authors.initials: A
authors.lastname: Coss
authors.forename: Chen
authors.initials: C
authors.lastname: Zhou
authors.forename: Michael F
authors.initials: MF
authors.lastname: Byrne
authors.forename: Alan A
authors.initials: AA
authors.lastname: Weiss
mesh_terms: D000368:Aged; D044963:Biopsy, Fine-Needle; D002760:Cholangiopancreatography, Endoscopic Retrograde; D001651:Cholestasis, Extrahepatic / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003135:Common Bile Duct; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009101:Multiple Myeloma / Q000150:complications* / Q000175:diagnosis; D009364:Neoplasm Recurrence, Local; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000175:diagnosis