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British Journal of Radiology (2006) 79, e25-e27
© 2006 British Institute of Radiology
doi: 10.1259/bjr/77207966
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Case report

Pulmonary and nodal multiple myeloma mimicking lymphoma

P O'Sullivan, FFRRCS and N L Müller, MD, PhD

Department of Radiology, University of British Columbia, Vancouver, BC, Canada

Correspondence: Dr Paul O'Sullivan, Department of Radiology, Vancouver General Hospital, 899 West 12th Avenue, Vancouver, BC, Canada, V5Z 1M9.

Multiple myeloma is a haematological malignancy characterized by the occurrence of plasma cell tumours within the bone marrow. In advanced multiple myeloma, metastatic deposits outside the bone marrow (extramedullary) are rare. Reported extramedullary sites include the upper respiratory tract and lymph nodes. Parenchymal pulmonary plasmacytoma is exceptionally rare. We describe such a case in a 51-year-old male, who underwent allogenic marrow transplantation. 6 months post-transplantation developing nodal and hilar pulmonary multiple myeloma, the radiological appearances mimicking lymphoma.






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