title: Recurrent multiple myeloma presenting as a breast plasmacytoma.
abstract: We describe a patient with multiple myeloma, who initially responded to chemotherapy and went into remission. She presented 10 months later with a right breast lump which was confirmed by core biopsy to be a plasmacytoma. Further treatment with radiotherapy, thalidomide and later second line chemotherapy appeared unsuccessful and she showed rapid disease progression with rising paraproteins and new extramedullary plasmacytoma lesions in the forehead, supraclavicular region, nasopharynx, liver, spleen, pancreas and paraaortic lymph nodes.
authors.affiliation: Department of Surgery, Medical Faculty, Universiti Kebangsaan Malaysia Medical Centre.
authors.forename: A
authors.initials: A
authors.lastname: Kalyani
authors.forename: M
authors.initials: M
authors.lastname: Rohaizak
authors.forename: S K
authors.initials: SK
authors.lastname: Cheong
authors.forename: U
authors.initials: U
authors.lastname: Nor Aini
authors.forename: V
authors.initials: V
authors.lastname: Balasundaram
authors.forename: A
authors.initials: A
authors.lastname: Norlia
mesh_terms: D001943:Breast Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000532:radiotherapy / Q000556:secondary; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D009101:Multiple Myeloma / Q000188:drug therapy / Q000473:pathology*; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local / Q000473:pathology*; D010954:Plasmacytoma / Q000473:pathology* / Q000532:radiotherapy / Q000556:secondary