title: Myeloma multiplex with pulmonary dissemination.
abstract: BACKGROUND
  Multiple myeloma is a hemathological malignancy characterized by the clonal proliferation of plasma cells in the bone the marrow. Extramedullary dissemination of multiple myeloma is uncommon. In several cases only, the multiple myeloma malignant plasma cells had diseminated to the lung parenchyma.
  
  
  METHODS
  We presented a case of multiple myeloma with lung plasmacytoma, in a 79 year-old patient, hospitalized for febrility and infiltrative mass in the right lung. Two months before the patient was admitted, because of developing terminal renal failure, hemodialysis treatment had started three times a week. Since then, the patient was oliguric, but because of febrility and hemoptysis that appeared, at first he was treated with dual antibiotic therapy which resulted in temporary improvement of his general condition, but pleural effusion remained. After thoracocentesis, followed by myelogram, the multiple myeloma diagnosis was established.
  
  
  CONCLUSIONS
  In patients of middle and older age, with general weakness, exhaustion, loss of weight, renal failure which progresses to the end stage rapidly, if symptoms of respiratory tract occur, consider this uncommon disease--extramedullary dissemination of multiple myeloma.
authors.forename: Brankica
authors.initials: B
authors.lastname: Terzić
authors.forename: Djoko
authors.initials: D
authors.lastname: Maksić
authors.forename: Vesna
authors.initials: V
authors.lastname: Skuletić
authors.forename: Dejan
authors.initials: D
authors.lastname: Pilcević
authors.forename: Mirjana
authors.initials: M
authors.lastname: Mijusković
authors.forename: Zoran
authors.initials: Z
authors.lastname: Cukić
authors.forename: Katarina
authors.initials: K
authors.lastname: Obrencević
authors.forename: Marijana
authors.initials: M
authors.lastname: Petrović
authors.forename: Jelena
authors.initials: J
authors.lastname: Tadić-Pilcević
authors.forename: Milica
authors.initials: M
authors.lastname: Petrović
mesh_terms: D000368:Aged; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology*; D008297:Male; D009101:Multiple Myeloma / Q000473:pathology*; D009378:Neoplasms, Multiple Primary / Q000473:pathology*; D019152:Paracentesis / Q000379:methods; D010954:Plasmacytoma / Q000473:pathology*; D013902:Radiography, Thoracic / Q000379:methods