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Plasmacytoma

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197: 44: 325: 359:(other than the single bone lesion). The criteria for extramedullary plasmacytoma are the same but the tumor is located in soft tissue. No bone lesions should be present. Criteria for multiple solitary plasmacytomas (+/- recurrent) are the same except either multiple solitary bone or soft tissue lesions must be present. They may occur as multiple primary tumors or as a recurrence from a previous plasmacytoma. 355:(IMWG) has published criteria for the diagnosis of plasmacytomas. They recognise three distinct entities: SPB, extramedullary plasmacytoma and multiple solitary plasmacytomas (+/- recurrent). The proposed criteria for SPB is the presence of a single bone lesion, normal bone marrow (less than 5% plasma cells), small or no paraprotein, no related organ involvement/damage and a normal 451:
Plasmacytomas are a rare form of cancer. SPB is the most common form of the disease and accounts for 3-5% of all plasma cell malignancies. The median age at diagnosis for all plasmacytomas is 55. Both SPB and extramedullary plasmacytoma are more prevalent in males; with a 2:1 male to female ratio for
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of bone (SPB); extramedullary plasmacytoma (EP), and multiple plasmacytomas that are either primary or recurrent. The most common of these is SPB, accounting for 3–5% of all plasma cell malignancies. SPBs occur as lytic lesions within the axial skeleton and extramedullary plasmacytomas most often
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treatment. In a study that included 68 patients, a group of 8 patients who were treated with radio- and chemotherapy (with or without surgery) were less likey to have a relapse of plasmacytoma, progress to multiple myeloma, or die compared with patients who were treated with radiotherapy and/or
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plasma cells. These cells express products of EBV genes such as EBER1 and EBER2. EBV-positive plasmacytoma(s) is more likely to progress to multiple myeloma than EBV-negative plasmacytoma(s) suggesting that the virus may play a role in the progression of plasmacytoma to multiple myeloma.
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within 2–4 years of diagnosis, but the overall median survival for SPB is 7–12 years. 30–50% of extramedullary plasmacytoma cases progress to multiple myeloma with a median time of 1.5–2.5 years. 15–45% of SPB and 50–65% of extramedullary plasmacytoma are disease free after 10 years.
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spike. This is due to an outgrowth of a single type of plasma cell that forms the plasmacytoma and produces a single type of antibody. The plasma cells are said to be monoclonal and the excessively produced antibody is known as monoclonal protein or
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Bone marrow biopsies are performed to ensure the disease is localised; and in SPB or extramedullary plasmacytoma there will not be an increase of monoclonal plasma cells. Tissue biopsies of SPB and extramedullary plasmacytoma are used to assess the
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Dimopoulos M, Terpos E, Comenzo RL, et al. (September 2009). "International myeloma working group consensus statement and guidelines regarding the current role of imaging techniques in the diagnosis and monitoring of multiple Myeloma".
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is an option for extramedullary plasmacytoma, but for cosmetic reasons it is generally used when the lesion is not present within the head and neck region. Another option is the possible combination of radiotherapy with
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is the main choice of treatment for both SPB and extramedullary plasmacytoma, and local control rates of >80% can be achieved. This form of treatment can be used with curative intent because plasmacytoma is a
1281: 1266: 464:" or "solitary myeloma". It is often used as part of the phrase "solitary plasmacytoma". or as part of the phrase "extramedullary plasmacytoma". In this context, "extramedullary" means outside of the 242:
Serum protein electrophoresis separates the proteins in the liquid part of the blood (serum), allowing the analysis of antibodies. Normal blood serum contains a range of antibodies and are said to be
1018: 395:. EBV-positivity is more common in plasmacytoma than multiple myeloma. The tissues involved in EBV+ plasmacytoma typically show foci of EBV+ cells with the appearance of rapidly proliferating 2438: 1407: 932:
Yan J, Wang J, Zhang W, Chen M, Chen J, Liu W (April 2017). "Solitary plasmacytoma associated with Epstein-Barr virus: a clinicopathologic, cytogenetic study and literature review".
2182: 388: 344:, but they form discrete masses of cells in the skeleton (solitary plasmacytoma of bone; SPB) or in soft tissues (extramedullary plasmacytoma; EP). They do not present with 1400: 1736: 430:
surgery alone . Concerning that study, a large prospective trial is needed to evaluate the impact of adding systemic anti-myeloma treatment to local radiotherapy.
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Sekiguchi Y, Shimada A, Ichikawa K, Wakabayashi M, Sugimoto K, Ikeda K, Sekikawa I, Tomita S, Izumi H, Nakamura N, Sawada T, Ohta Y, Komatsu N, Noguchi M (2015).
2517: 1853: 1393: 1296: 801:"Guidelines on the diagnosis and management of solitary plasmacytoma of bone, extramedullary plasmacytoma and multiple solitary plasmacytomas: 2009 update" 850:"Epstein–Barr virus-positive multiple myeloma developing after immunosuppressant therapy for rheumatoid arthritis: a case report and review of literature" 2443: 527:"Criteria for the classification of monoclonal gammopathies, multiple myeloma and related disorders: a report of the International Myeloma Working Group" 271:(CD) markers are present and to assess monoclonality of the cells. CD markers can aid in the distinction of extramedullary plasmacytoma from lymphomas. 2252: 1455: 487: 2466: 1818: 2512: 2208: 285:. MRI can be used to assess tumor status and may be advantageous in detecting primary tumors that are not detected by plain film radiography. 1547: 974:"Clinical features, therapy patterns, outcomes and prognostic factors of solitary plasmacytomas: a report of the Israeli Myeloma Study Group" 1898: 2411: 2450: 1996: 1875: 1741: 141:. For SPB and extramedullary plasmacytoma the distinction is the presence of only one lesion (either in bone or soft tissue), normal 1078: 2507: 1976: 1774: 1197:"Primary extramedullary plasmacytoma: similarities with and differences from multiple myeloma revealed by interphase cytogenetics" 2400: 2074: 1628: 2247: 800: 2066: 1617: 832: 493: 2395: 1023: 2351: 1971: 1769: 1653: 352: 110: 2299: 2010: 2242: 575:"Guidelines on the diagnosis and management of solitary plasmacytoma of bone and solitary extramedullary plasmacytoma" 1540: 1239: 387:. EBV-positive multiple myeloma and plasmacytoma are classified together by the World Health Organization (2016) as 2203: 889:
Rezk SA, Zhao X, Weiss LM (June 2018). "Epstein - Barr virus - associated lymphoid proliferations, a 2018 update".
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O'Connell TX, Horita TJ, Kasravi B (January 2005). "Understanding and interpreting serum protein electrophoresis".
114: 26: 1470: 2433: 2425: 2284: 2162: 2101: 2087: 1981: 1922: 1759: 1685: 130:, but surgery is used in some cases of extramedullary plasmacytoma. The skeletal forms frequently progress to 2481: 2391: 2341: 2237: 1966: 1750: 212: 200: 2373: 2279: 2262: 2070: 1624: 1533: 1416: 1373: 2314: 2187: 1893: 1038: 2229: 1489: 1477: 268: 196: 2117: 1958: 1880: 1243: 498: 371:(EBV) is associated with multiple myeloma and plasmacytomas, particularly in individuals who have an 290: 973: 2319: 2147: 1311: 228: 1785: 170: 162: 119: 304:. The difference between plasmacytoma and multiple myeloma is that plasmacytoma lacks increased 2336: 2213: 2192: 2106: 1887: 1506: 1385: 396: 368: 289:
may also be beneficial in detecting extramedullary tumours in individuals diagnosed with SPB.
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The diagnosis of plasmacytoma uses a diverse range of interdisciplinary techniques including
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There can be some ambiguity when using the word. "Plasmacytoma" is sometimes equated with "
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of the plasma cells. Histological analyses can be performed on these biopsies to see what
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Pathology and Genetics of Haemo (World Health Organization Classification of Tumours S.)
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An important distinction to be made is that a true plasmacytoma is present and not a
67: 2156: 918: 755: 641: 624: 2256: 2035: 1903: 1802: 1514: 1461: 1445: 1362: 1208: 1133: 1125: 1051: 985: 941: 898: 861: 735: 694: 684: 636: 586: 538: 482: 439: 426: 417: 372: 345: 341: 301: 297: 138: 131: 20: 989: 902: 2029: 2024: 1833: 1717: 1583: 1578: 1432: 1316: 1129: 1079:"Up-date on solitary plasmacytoma and its main differences with multiple myeloma" 356: 274: 203:
of an individual with polyclonal antibodies (top) and an individual with a large
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For SPB the most common presenting symptom is that of pain in the affected bone.
146: 123: 122:(85%), but can occur in any soft tissue. Approximately half of all cases produce 2476: 1494: 282: 278: 137:
Due to their cellular similarity, plasmacytomas have to be differentiated from
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are present in 60% of SPB and less than 25% of extramedullary plasmacytoma.
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in the bloodstream, and multiple bone lesions (collectively termed CRAB).
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Dimopoulos MA, Moulopoulos LA, Maniatis A, Alexanian R (September 2000).
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Growth of a plasma cell tumour within soft tissue or the axial skeleton
1035: 348:, which would classify them as another systemic plasma cell disorder. 1357: 1333: 400: 293:
may be better than plain film radiography for assessing bone damage.
264: 177: 158: 1114:"Immunoglobulin free light chains and solitary plasmacytoma of bone" 2471: 1560: 1419: 1368: 847: 574: 524: 376: 185: 76: 1338: 1039:"Solitary plasmacytoma of bone and asymptomatic multiple myeloma" 671:
Kilciksiz S, Karakoyun-Celik O, Agaoglu FY, Haydaroglu A (2012).
421: 1415: 1160: 324: 169:. Around 85% of extramedullary plasmacytoma presents within the 126:. SPBs and extramedullary plasmacytomas are mostly treated with 2019: 1270: 1161:
Megat Shiraz MA, Jong YH, Primuharsa Putra SH (November 2008).
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Dingli D, Kyle RA, Rajkumar SV, et al. (September 2006).
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Bink K, Haralambieva E, Kremer M, et al. (April 2008).
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Ganzel C, Trestman S, Levi S, et al. (September 2022).
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International Journal of Clinical and Experimental Pathology
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and nasal obstruction. In some tissues it may be found as a
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and other consequences of the bone lesion may occur such as
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Non-mycosis fungoides CD30− cutaneous large T-cell lymphoma
2178: 2096: 1838: 1813: 1793: 1789: 1676: 1594: 1589: 246:, whereas serum from a person with plasmacytoma may show a 768: 573:
Soutar R, Lucraft H, Jackson G, et al. (March 2004).
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Epstein–Barr virus-associated lymphoproliferative diseases
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SPB and a 3:1 ratio for extramedullary plasmacytoma.
149:, absent or low paraprotein and no end organ damage. 1248: 1163:"Extramedullary plasmacytoma in the maxillary sinus" 799:
M. Hughes; R. Soutar; H. Lucraft; R. Owen; J. Bird.
572: 2253:Peripheral T-cell lymphoma not otherwise specified 1111: 1037: 971: 488:Monoclonal gammopathy of undetermined significance 27:Plasma cell dyscrasia § Solitary plasmacytoma 2075:Precursor T acute lymphoblastic leukemia/lymphoma 1629:Precursor B acute lymphoblastic leukemia/lymphoma 525:International Myeloma Working Group (June 2003). 393:Epstein–Barr virus-associated plasma cell myeloma 2499: 1076: 931: 817: 1819:Nodular lymphocyte predominant Hodgkin lymphoma 967: 965: 963: 625:"Solitary bone and extramedullary plasmacytoma" 720: 718: 666: 664: 662: 660: 618: 616: 614: 612: 610: 568: 566: 564: 562: 520: 518: 516: 514: 383:, or a chronic inflammatory condition such as 2209:Secondary cutaneous CD30+ large-cell lymphoma 1541: 1401: 888: 1899:Post-transplant lymphoproliferative disorder 1854:immunoproliferative immunoglobulin disorders 1188: 1154: 1105: 1070: 1029: 960: 925: 882: 2412:Diffuse infiltrative lymphocytosis syndrome 841: 762: 715: 657: 607: 559: 511: 340:. The cells are identical to those seen in 2451:Jessner lymphocytic infiltrate of the skin 1997:Primary cutaneous follicle center lymphoma 1742:Primary cutaneous follicle center lymphoma 1548: 1534: 1408: 1394: 42: 1212: 1137: 865: 698: 688: 640: 590: 542: 1977:Primary cutaneous marginal zone lymphoma 1775:Primary cutaneous marginal zone lymphoma 622: 323: 195: 2439:with bandlike and perivascular patterns 2401:Autoimmune lymphoproliferative syndrome 363:Association with the Epstein–Barr virus 2518:Epstein–Barr virus–associated diseases 2500: 2248:Enteropathy-associated T-cell lymphoma 629:Hematology Am Soc Hematol Educ Program 277:are used to ensure there are no other 2513:Lymphoid-related cutaneous conditions 1529: 1389: 1077:Di Micco P, Di Micco B (March 2005). 152: 2396:X-linked lymphoproliferative disease 176:, causing possible symptoms such as 2352:Large granular lymphocytic leukemia 1972:Intravascular large B-cell lymphoma 353:International Myeloma Working Group 111:International Myeloma Working Group 13: 14: 2529: 1233: 946:10.1016/j.anndiagpath.2016.09.002 319: 592:10.1111/j.1365-2141.2004.04834.x 544:10.1046/j.1365-2141.2003.04355.x 2508:Hematologic malignant neoplasms 2204:CD30+ cutaneous T-cell lymphoma 1012: 642:10.1182/asheducation-2005.1.373 494:Waldenström's macroglobulinemia 446: 2434:Cutaneous lymphoid hyperplasia 2426:Cutaneous lymphoid hyperplasia 2285:Adult T-cell leukemia/lymphoma 2163:Adult T-cell leukemia/lymphoma 2102:Anaplastic large-cell lymphoma 1982:Primary cutaneous immunocytoma 1923:Splenic marginal zone lymphoma 934:Annals of Diagnostic Pathology 455: 438:Most cases of SPB progress to 300:plasma cell disorder, such as 145:(<5% plasma cells), normal 134:over the course of 2–4 years. 1: 2482:Lymphoproliferative disorders 2392:Lymphoproliferative disorders 2342:Extranodal NK-T-cell lymphoma 2214:Lymphomatoid papulosis type A 2193:Lymphomatoid papulosis type B 2107:Lymphomatoid papulosis type A 1967:Diffuse large B-cell lymphoma 1471:Waldenström macroglobulinemia 990:10.1080/10428194.2022.2118535 903:10.1016/j.humpath.2018.05.020 504: 328:Micrograph of a plasmacytoma. 213:serum protein electrophoresis 201:Serum protein electrophoresis 2374:Acute biphenotypic leukaemia 2263:Subcutaneous T-cell lymphoma 1130:10.1182/blood-2006-04-015784 1024:Dorland's Medical Dictionary 433: 407: 191: 7: 2315:Aggressive NK-cell leukemia 2188:Pleomorphic T-cell lymphoma 1894:Lymphomatoid granulomatosis 471: 10: 2534: 269:cluster of differentiation 24: 18: 2459: 2424: 2382: 2364: 2328: 2298: 2271: 2226: 2171: 2125: 2116: 2056: 2018: 2009: 1957: 1867: 1828: 1784: 1706: 1675: 1637: 1616: 1605: 1572: 1568: 1504: 1427: 1348: 1252: 1244:National Cancer Institute 499:Cutaneous B-cell lymphoma 310:decreased kidney function 66: 50: 41: 36: 2467:Hematological malignancy 2320:Blastic NK cell lymphoma 2148:Granulomatous slack skin 1904:Classic Hodgkin lymphoma 1803:Classic Hodgkin lymphoma 1056:10.1182/blood.V96.6.2037 827:. Oxford Univ Pr. 2003. 314:too few red blood cells 171:upper respiratory tract 163:spinal cord compression 120:upper respiratory tract 1507:hypergammaglobulinemia 1214:10.3324/haematol.12005 677:ScientificWorldJournal 329: 229:plain film radiography 208: 2346:Angiocentric lymphoma 1936:AIDS-related lymphoma 1760:Splenic marginal zone 478:Plasma cell dyscrasia 462:plasma cell dyscrasia 401:poorly differentiated 381:organ transplantation 327: 219:, urine analysis for 199: 167:pathological fracture 115:solitary plasmacytoma 89:plasma cell dyscrasia 2444:with nodular pattern 2143:Pagetoid reticulosis 1755:marginal zone B-cell 1450:Plasma cell leukemia 385:rheumatoid arthritis 225:complete blood count 1943:Helicobacter pylori 1770:Nodal marginal zone 1697:Hairy cell leukemia 1563:and related disease 1495:Primary amyloidosis 1483:Heavy chain disease 1417:Immunoproliferative 740:10.1038/leu.2009.89 690:10.1100/2012/895765 221:Bence Jones protein 113:lists three types: 2487:Lymphoid leukemias 2407:Leukemoid reaction 2243:Angioimmunoblastic 1909:Burkitt's lymphoma 1349:External resources 369:Epstein–Barr virus 332:Plasmacytoma is a 330: 217:bone marrow biopsy 209: 153:Signs and symptoms 2495: 2494: 2420: 2419: 2360: 2359: 2294: 2293: 2222: 2221: 2138:Mycosis fungoides 2005: 2004: 1863: 1862: 1807:Nodular sclerosis 1722:follicular B cell 1523: 1522: 1467:Macroglobulinemia 1383: 1382: 984:(14): 3448–3455. 834:978-92-832-2411-2 623:Weber DM (2005). 82: 81: 31:Medical condition 2525: 2257:Lennert lymphoma 2123: 2122: 2054: 2053: 2016: 2015: 1881:Primary effusion 1614: 1613: 1603: 1602: 1570: 1569: 1550: 1543: 1536: 1527: 1526: 1515:Cryoglobulinemia 1446:Multiple myeloma 1410: 1403: 1396: 1387: 1386: 1250: 1249: 1227: 1226: 1216: 1192: 1186: 1185: 1167: 1158: 1152: 1151: 1141: 1109: 1103: 1102: 1097:. Archived from 1074: 1068: 1067: 1041: 1033: 1027: 1016: 1010: 1009: 969: 958: 957: 929: 923: 922: 886: 880: 879: 869: 845: 839: 838: 821: 815: 814: 812: 810: 805: 796: 787: 786: 771:Am Fam Physician 766: 760: 759: 722: 713: 712: 702: 692: 668: 655: 654: 644: 620: 605: 604: 594: 570: 557: 556: 546: 522: 483:Multiple myeloma 440:multiple myeloma 427:multiple myeloma 373:immunodeficiency 346:systemic disease 342:multiple myeloma 302:multiple myeloma 275:Skeletal surveys 139:multiple myeloma 132:multiple myeloma 46: 34: 33: 21:Multiple myeloma 2533: 2532: 2528: 2527: 2526: 2524: 2523: 2522: 2498: 2497: 2496: 2491: 2455: 2416: 2378: 2366: 2356: 2324: 2303: 2290: 2267: 2228: 2218: 2167: 2112: 2060: 2058: 2033: 2028: 2022: 2001: 1953: 1859: 1836: 1824: 1780: 1718:germinal center 1702: 1671: 1633: 1609: 1607: 1587: 1582: 1576: 1564: 1554: 1524: 1519: 1500: 1423: 1414: 1384: 1379: 1378: 1344: 1343: 1261: 1236: 1231: 1230: 1193: 1189: 1170:Singapore Med J 1165: 1159: 1155: 1110: 1106: 1075: 1071: 1034: 1030: 1017: 1013: 970: 961: 930: 926: 891:Human Pathology 887: 883: 860:(2): 2090–102. 846: 842: 835: 823: 822: 818: 808: 806: 803: 797: 790: 767: 763: 723: 716: 669: 658: 621: 608: 579:Br. J. Haematol 571: 560: 531:Br. J. Haematol 523: 512: 507: 474: 458: 449: 436: 410: 365: 357:skeletal survey 322: 194: 155: 147:skeletal survey 124:paraproteinemia 32: 29: 23: 17: 12: 11: 5: 2531: 2521: 2520: 2515: 2510: 2493: 2492: 2490: 2489: 2484: 2479: 2477:Leukemia cutis 2474: 2469: 2463: 2461: 2457: 2456: 2454: 2453: 2448: 2447: 2446: 2441: 2430: 2428: 2422: 2421: 2418: 2417: 2415: 2414: 2409: 2404: 2398: 2388: 2386: 2380: 2379: 2377: 2376: 2370: 2368: 2362: 2361: 2358: 2357: 2355: 2354: 2349: 2332: 2330: 2326: 2325: 2323: 2322: 2317: 2311: 2309: 2296: 2295: 2292: 2291: 2289: 2288: 2275: 2273: 2269: 2268: 2266: 2265: 2260: 2250: 2245: 2240: 2234: 2232: 2224: 2223: 2220: 2219: 2217: 2216: 2211: 2206: 2196: 2195: 2190: 2185: 2175: 2173: 2169: 2168: 2166: 2165: 2157:SĂ©zary disease 2151: 2150: 2145: 2140: 2131: 2129: 2120: 2114: 2113: 2111: 2110: 2104: 2092: 2091: 2088:Prolymphocytic 2078: 2064: 2062: 2051: 2050: 2049: 2043: 2013: 2007: 2006: 2003: 2002: 2000: 1999: 1994: 1989: 1984: 1979: 1974: 1969: 1963: 1961: 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816: 788: 761: 734:(9): 1545–56. 714: 656: 606: 558: 509: 508: 506: 503: 502: 501: 496: 491: 485: 480: 473: 470: 457: 454: 448: 445: 435: 432: 418:radiosensitive 409: 406: 364: 361: 321: 320:Classification 318: 283:axial skeleton 279:primary tumors 193: 190: 154: 151: 104:axial skeleton 102:or within the 80: 79: 70: 64: 63: 48: 47: 39: 38: 30: 15: 9: 6: 4: 3: 2: 2530: 2519: 2516: 2514: 2511: 2509: 2506: 2505: 2503: 2488: 2485: 2483: 2480: 2478: 2475: 2473: 2470: 2468: 2465: 2464: 2462: 2458: 2452: 2449: 2445: 2442: 2440: 2437: 2436: 2435: 2432: 2431: 2429: 2427: 2423: 2413: 2410: 2408: 2405: 2402: 2399: 2397: 2393: 2390: 2389: 2387: 2385: 2384:Lymphocytosis 2381: 2375: 2372: 2371: 2369: 2363: 2353: 2350: 2347: 2343: 2339: 2338: 2334: 2333: 2331: 2327: 2321: 2318: 2316: 2313: 2312: 2310: 2307: 2301: 2297: 2286: 2282: 2281: 2277: 2276: 2274: 2270: 2264: 2261: 2258: 2254: 2251: 2249: 2246: 2244: 2241: 2239: 2238:Hepatosplenic 2236: 2235: 2233: 2231: 2225: 2215: 2212: 2210: 2207: 2205: 2201: 2198: 2197: 2194: 2191: 2189: 2186: 2184: 2180: 2177: 2176: 2174: 2170: 2164: 2161: 2160: 2159: 2158: 2155: 2149: 2146: 2144: 2141: 2139: 2136: 2133: 2132: 2130: 2128: 2124: 2121: 2119: 2115: 2108: 2105: 2103: 2099: 2098: 2094: 2093: 2089: 2085: 2084: 2083:prolymphocyte 2080: 2079: 2076: 2072: 2068: 2065: 2063: 2055: 2052: 2047: 2044: 2042: 2039: 2038: 2037: 2031: 2026: 2021: 2017: 2014: 2012: 2008: 1998: 1995: 1993: 1992:Plasmacytosis 1990: 1988: 1985: 1983: 1980: 1978: 1975: 1973: 1970: 1968: 1965: 1964: 1962: 1960: 1956: 1949: 1948:MALT lymphoma 1945: 1944: 1940: 1937: 1933: 1932: 1928: 1924: 1921: 1920: 1919: 1918: 1914: 1910: 1907: 1905: 1902: 1900: 1897: 1895: 1892: 1891: 1890: 1889: 1885: 1882: 1878: 1877: 1873: 1872: 1870: 1866: 1856: 1855: 1850: 1849: 1847: 1844: 1840: 1835: 1831: 1827: 1820: 1816: 1815: 1811: 1808: 1804: 1801: 1800: 1798: 1795: 1791: 1787: 1783: 1776: 1773: 1771: 1768: 1766: 1763: 1761: 1757: 1756: 1752: 1751:marginal zone 1748: 1747: 1743: 1740: 1738: 1735: 1733: 1730: 1728: 1724: 1723: 1719: 1715: 1714: 1712: 1709: 1705: 1698: 1694: 1693: 1689: 1687: 1684: 1683: 1681: 1678: 1674: 1667: 1663: 1662: 1658: 1655: 1651: 1650: 1646: 1645: 1643: 1640: 1636: 1630: 1626: 1623: 1621: 1619: 1615: 1612: 1604: 1601: 1596: 1593: 1592: 1591: 1585: 1580: 1575: 1571: 1567: 1562: 1558: 1551: 1546: 1544: 1539: 1537: 1532: 1531: 1528: 1516: 1513: 1512: 1510: 1508: 1503: 1496: 1492: 1491: 1487: 1484: 1480: 1479: 1475: 1472: 1468: 1464: 1463: 1459: 1457: 1454: 1451: 1447: 1444: 1442: 1439: 1438: 1436: 1434: 1430: 1426: 1421: 1418: 1411: 1406: 1404: 1399: 1397: 1392: 1391: 1388: 1375: 1371: 1370: 1366: 1364: 1360: 1359: 1355: 1354: 1351: 1347: 1340: 1336: 1335: 1331: 1329: 1325: 1324: 1320: 1318: 1314: 1313: 1309: 1307: 1303: 1299: 1298: 1294: 1292: 1288: 1287: 1283: 1279: 1277: 1273: 1272: 1268: 1264: 1263: 1260: 1255: 1251: 1245: 1241: 1238: 1237: 1224: 1220: 1215: 1210: 1206: 1202: 1201:Haematologica 1198: 1191: 1183: 1179: 1175: 1171: 1164: 1157: 1149: 1145: 1140: 1135: 1131: 1127: 1123: 1119: 1115: 1108: 1100: 1096: 1092: 1088: 1084: 1080: 1073: 1065: 1061: 1057: 1053: 1049: 1045: 1040: 1032: 1026: 1025: 1020: 1015: 1007: 1003: 999: 995: 991: 987: 983: 979: 978:Leuk Lymphoma 975: 968: 966: 964: 955: 951: 947: 943: 939: 935: 928: 920: 916: 912: 908: 904: 900: 896: 892: 885: 877: 873: 868: 863: 859: 855: 851: 844: 836: 830: 826: 820: 802: 795: 793: 784: 780: 777:(1): 105–12. 776: 772: 765: 757: 753: 749: 745: 741: 737: 733: 729: 721: 719: 710: 706: 701: 696: 691: 686: 682: 678: 674: 667: 665: 663: 661: 652: 648: 643: 638: 634: 630: 626: 619: 617: 615: 613: 611: 602: 598: 593: 588: 585:(6): 717–26. 584: 580: 576: 569: 567: 565: 563: 554: 550: 545: 540: 537:(5): 749–57. 536: 532: 528: 521: 519: 517: 515: 510: 500: 497: 495: 492: 489: 486: 484: 481: 479: 476: 475: 469: 467: 463: 453: 444: 441: 431: 428: 423: 419: 414: 405: 402: 398: 394: 390: 386: 382: 378: 374: 370: 360: 358: 354: 349: 347: 343: 339: 335: 326: 317: 315: 311: 307: 306:blood calcium 303: 299: 294: 292: 288: 284: 280: 276: 272: 270: 266: 260: 258: 254: 249: 245: 240: 238: 234: 230: 226: 222: 218: 214: 206: 202: 198: 189: 187: 186:palpable mass 183: 179: 175: 172: 168: 164: 160: 150: 148: 144: 140: 135: 133: 129: 125: 121: 118:occur in the 116: 112: 107: 105: 101: 98:grows within 97: 94: 90: 86: 78: 74: 71: 69: 65: 61: 60:H&E stain 57: 53: 49: 45: 40: 35: 28: 22: 2335: 2278: 2272:By infection 2153: 2152: 2134: 2095: 2081: 2059:development/ 1987:Plasmacytoma 1986: 1941: 1929: 1915: 1886: 1874: 1868:By infection 1851: 1812: 1749: 1716: 1690: 1659: 1649:naive B cell 1647: 1608:development/ 1488: 1476: 1460: 1441:Plasmacytoma 1440: 1367: 1356: 1332: 1321: 1310: 1295: 1280: 1265: 1207:(4): 623–6. 1204: 1200: 1190: 1173: 1169: 1156: 1121: 1117: 1107: 1099:the original 1086: 1082: 1072: 1047: 1043: 1031: 1022: 1014: 981: 977: 937: 933: 927: 894: 890: 884: 857: 853: 843: 824: 819: 807:. Retrieved 774: 770: 764: 731: 727: 680: 676: 632: 628: 582: 578: 534: 530: 459: 450: 447:Epidemiology 437: 413:Radiotherapy 411: 375:due to e.g. 367:Rarely, the 366: 350: 338:plasma cells 331: 295: 273: 261: 257:Paraproteins 241: 210: 156: 136: 128:radiotherapy 108: 85:Plasmacytoma 84: 83: 56:plasmacytoma 55: 37:Plasmacytoma 2154:aggressive: 2127:MF+variants 1666:Mantle cell 1661:mantle zone 1490:light chain 1478:heavy chain 1089:(1): 7–12. 466:bone marrow 456:Terminology 391:and termed 281:within the 253:paraprotein 205:paraprotein 182:rhinorrhoea 143:bone marrow 100:soft tissue 93:plasma cell 91:in which a 2502:Categories 2230:peripheral 1727:Follicular 1557:Leukaemias 1323:DiseasesDB 1083:Exp. Oncol 809:January 2, 505:References 291:CT imaging 248:monoclonal 244:polyclonal 73:Hematology 52:Micrograph 25:See also: 19:See also: 2365:Lymphoid+ 2135:indolent: 2118:Cutaneous 1959:Cutaneous 1737:GCB DLBCL 1732:Burkitt's 1561:lymphomas 1422:disorders 1358:eMedicine 1334:SNOMED CT 1006:252161148 897:: 18–41. 635:: 373–6. 434:Prognosis 408:Treatment 265:phenotype 207:(bottom). 192:Diagnosis 178:epistaxis 159:Back pain 68:Specialty 2472:leukemia 2030:leukemia 2025:lymphoma 1584:leukemia 1579:lymphoma 1369:Orphanet 1363:med/2532 1339:10639003 1240:Overview 1223:18326524 1182:19037537 1148:16741249 1095:15812350 1064:10979944 998:36075048 954:28325354 919:47010934 911:29885408 876:25973110 783:15663032 756:13264295 748:19421229 728:Leukemia 709:22654647 651:16304406 601:15009059 553:12780789 472:See also 397:immature 377:HIV/AIDS 298:systemic 77:oncology 2460:General 2367:myeloid 2329:T or NK 2300:NK cell 1654:CLL/SLL 1317:D010954 1306:M9734/3 1302:M9731/3 1139:1895544 940:: 1–6. 867:4396324 700:3354668 683:: 1–6. 422:Surgery 420:tumor. 2304:(most 2280:HTLV-1 2172:Non-MF 2061:marker 2034:(most 2020:T cell 1692:CD11c+ 1610:marker 1588:(most 1574:B cell 1505:Other 1221:  1180:  1146:  1136:  1093:  1062:  1004:  996:  952:  917:  909:  874:  864:  831:  781:  754:  746:  707:  697:  649:  599:  551:  490:(MGUS) 287:PET-CT 237:PET-CT 174:mucosa 96:tumour 2227:Other 2097:CD30+ 1843:CD138 1814:CD20+ 1708:CD79a 1374:86855 1297:ICD-O 1291:238.6 1276:C90.2 1166:(PDF) 1118:Blood 1044:Blood 1002:S2CID 915:S2CID 804:(PDF) 752:S2CID 425:anti- 334:tumor 87:is a 54:of a 2306:CD56 2200:CD30 2179:CD30 2067:TdT+ 2011:T/NK 1876:KSHV 1852:see 1839:CD38 1830:PCDs 1794:CD30 1790:CD15 1765:MALT 1677:CD22 1618:TdT+ 1595:CD20 1590:CD19 1456:MGUS 1429:PCDs 1328:8628 1312:MeSH 1286:9-CM 1219:PMID 1178:PMID 1144:PMID 1091:PMID 1060:PMID 994:PMID 950:PMID 907:PMID 872:PMID 829:ISBN 811:2019 779:PMID 744:PMID 705:PMID 681:2012 647:PMID 633:2005 597:PMID 549:PMID 351:The 235:and 223:and 109:The 75:and 2337:EBV 2202:+: 2181:-: 2071:ALL 2046:CD8 2041:CD4 2036:CD3 1931:HIV 1917:HCV 1888:EBV 1792:+, 1639:CD5 1625:ALL 1462:IgM 1282:ICD 1267:ICD 1242:at 1209:doi 1134:PMC 1126:doi 1122:108 1052:doi 1021:at 986:doi 942:doi 899:doi 862:PMC 736:doi 695:PMC 685:doi 637:doi 587:doi 583:124 539:doi 535:121 399:or 336:of 255:. 233:MRI 165:or 2504:: 2069:: 2057:By 1845:+) 1841:+/ 1834:PP 1796:+) 1786:RS 1606:By 1559:, 1433:PP 1372:: 1361:: 1337:: 1326:: 1315:: 1304:, 1300:: 1289:: 1274:: 1271:10 1217:. 1205:93 1203:. 1199:. 1174:49 1172:. 1168:. 1142:. 1132:. 1120:. 1116:. 1087:27 1085:. 1081:. 1058:. 1048:96 1046:. 1042:. 1000:. 992:. 982:63 980:. 976:. 962:^ 948:. 938:27 936:. 913:. 905:. 895:79 893:. 870:. 856:. 852:. 791:^ 775:71 773:. 750:. 742:. 732:23 730:. 717:^ 703:. 693:. 679:. 675:. 659:^ 645:. 631:. 627:. 609:^ 595:. 581:. 577:. 561:^ 547:. 533:. 529:. 513:^ 468:. 379:, 312:, 308:, 239:. 231:, 227:, 215:, 188:. 180:, 106:. 58:. 2403:) 2394:( 2348:) 2344:/ 2340:( 2308:) 2302:/ 2287:) 2283:( 2259:) 2255:( 2109:) 2100:( 2090:) 2086:( 2077:) 2073:( 2048:) 2032:) 2027:, 2023:( 1950:) 1946:( 1938:) 1934:( 1883:) 1879:( 1837:( 1832:/ 1821:) 1817:( 1809:) 1805:( 1788:( 1777:) 1758:( 1753:/ 1744:) 1725:( 1720:/ 1710:+ 1699:) 1695:( 1679:+ 1668:) 1664:( 1656:) 1652:( 1641:+ 1631:) 1627:( 1597:) 1586:) 1581:, 1577:( 1549:e 1542:t 1535:v 1497:) 1493:( 1485:) 1481:( 1473:) 1469:/ 1465:( 1452:) 1448:( 1431:/ 1409:e 1402:t 1395:v 1284:- 1269:- 1259:D 1225:. 1211:: 1184:. 1150:. 1128:: 1066:. 1054:: 1008:. 988:: 956:. 944:: 921:. 901:: 878:. 858:8 837:. 813:. 785:. 758:. 738:: 711:. 687:: 653:. 639:: 603:. 589:: 555:. 541:: 62:.

Index

Multiple myeloma
Plasma cell dyscrasia § Solitary plasmacytoma

Micrograph
H&E stain
Specialty
Hematology
oncology
plasma cell dyscrasia
plasma cell
tumour
soft tissue
axial skeleton
International Myeloma Working Group
solitary plasmacytoma
upper respiratory tract
paraproteinemia
radiotherapy
multiple myeloma
multiple myeloma
bone marrow
skeletal survey
Back pain
spinal cord compression
pathological fracture
upper respiratory tract
mucosa
epistaxis
rhinorrhoea
palpable mass

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