Massive pleural effusion due to IgG-Kappa subtype multiple myeloma: A case report.
作者信息
Arunsurat Itthiphat, Reechaipichitkul Wipa, So-Ngern Apichart, Ungareevittaya Piti, Chaisuriya Nipon, Teawtrakul Nattiya, Ratanawatkul Pailin, Chumpangern Worawat
机构信息
Division of Pulmonary, Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand.
Division of Sleep Medicine, Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand.
出版信息
Respir Med Case Rep. 2019 Dec 12;29:100984. doi: 10.1016/j.rmcr.2019.100984. eCollection 2020.
Multiple myeloma (MM) is a hematologic malignancy of plasma cell origin. Incidence of pleural effusion in multiple myeloma patients is approximately 6%. Myelomatous pleural effusions (MPE) are rare and occur in less than 1% of all MM cases. MPE is associated with advanced diseases, decreased survival time, and poor treatment response. In our case report, we describe a 59-year old man who presented with MPE at the initial diagnosis of MM. A diagnosis of MPE was reach through pleural fluid cytology and pleural tissue histology. The MPE had good response to initial dexamethasone without local therapy.
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