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J Thorac Cardiovasc Surg 2005;129:1168-1169
© 2005 The American Association for Thoracic Surgery

Brief Communications

Extramedullary plasmacytoma immunoglobulin D ({lambda}) in the chest wall and the subglottic region

Shoji Sakiyama, MD, PhDa,*, Kazuya Kondo, MD, PhDa, Yoshida Mitsuteru, MDa, Hiromitsu Takizawa, MDa, Koichiro Kenzaki, MDa, Takanori Miyoshi, MD, PhDa, Masahiro Abe, MD, PhDb, Shingo Wakatsuki, MD, PhDc, Yasumasa Monden, MD, PhDa

a Department of Oncological and Regenerative Surgery, Graduate School of Medicine, The University of Tokushima, Tokushima, Japan
b Department of Medicine and Bioregulatory Sciences, Graduate School of Medicine, The University of Tokushima, Tokushima, Japan
c Department of Pathology, Graduate School of Medicine, The University of Tokushima, Tokushima, Japan.

Received for publication August 8, 2004; accepted for publication August 23, 2004.

* Address for reprints: Shoji Sakiyama, MD, PhD, Department of Oncological and Regenerative Surgery, Graduate School of Medicine, The University of Tokushima, Kuramoto-cho 3, Tokushima 770-8503, Japan (E-mail: sakiyama@clin.med.tokushima-u.ac.jp).

The first 20% of the full text of this article appears below.

Extramedullary plasmacytoma is a rare plasma cell neoplasm that occurs in the absence of systemic signs of multiple myeloma, and most often occurs in the upper aerodigestive tract of the head and neck.1 We report a case of extramedullary plasmacytoma with immunoglobulin (Ig) D ({lambda}) in the chest wall and the subglottic region that showed an interesting clinical course.

Clinical summary

A 47-year-old woman visited our hospital with chief symptoms of a fist-sized tumor and invariable pain in the left lateral pectoral region. The tumor was elastic and hard, with radiating pressure pain. The chest radiograph showed an ill-defined 7.0 x 5.0-cm mass shadow in the left lower lung field (Figure 1, A). The chest radiograph obtained during a mass chest radiograph survey about 10 months before the visit appeared normal. Chest computed tomography demonstrated a heterogeneously enhanced mass without destruction of the ribs in the left chest wall (Figure 1, B). Magnetic resonance imaging showed no osteolytic lesion in the ribs. Preoperative histopathologic diagnosis of the . . . [Full Text of this Article]






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