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Year : 2019  |  Volume : 34  |  Issue : 4  |  Page : 341-343

Fluorine-18-fluorodeoxyglucose positron emission tomography/computed tomography in a giant left pectoral muscle plasmacytoma and multiple myeloma case


1 Department of Nuclear Medicine, Valdecilla University Hospital, Molecular Imaging Group (IDIVAL), University of Cantabria, Santander, Spain
2 Department of Hematology, Valdecilla University Hospital, University of Cantabria, Santander, Spain

Correspondence Address:
Dr. Nestor Martinez-Amador
Department of Nuclear Medicine, Marqués de Valdecilla University Hospital, Molecular Imaging Group (IDIVAL), University of Cantabria, Santander
Spain
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijnm.IJNM_83_19

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Extramedullary plasmacytoma is an unusual manifestation in multiple myeloma (MM). It can present as a solitary bone lesion and/or soft-tissue mass. Plasmacytoma can be presented at any location, but it is more common in the head and neck, usually without systemic involvement. The presence of plasmacytoma in MM is a predictor of rapidly progressive disease. The value of fluorine-18-fluorodeoxyglucose (FDG) positron emission tomography (PET)/computed tomography (PET-FDG) is increasing, in the diagnosis, detection of occult lesions, and therapeutic monitoring. We describe a patient with rapidly-progressive, refractory, left pectoral muscle plasmacytoma and MM. A PET-FDG guided the therapy and allowed to identify the presence of disease relapse.


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