Incidental Discovery of a Testicular Plasmacytoma at Initial Presentation of Multiple Myeloma

Testicular plasmacytomas are a rare phenomenon reported in the literature and they can occur as a solitary plasmacytoma, as a recurrence of multiple myeloma, or concurrently in an active myeloma. We report the case of a 43-year-old man who presented with back pain and was diagnosed with multiple mye...

Full description

Saved in:
Bibliographic Details
Main Author: Amanda R. Hathaway
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2013/752921
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849411713528496128
author Amanda R. Hathaway
author_facet Amanda R. Hathaway
author_sort Amanda R. Hathaway
collection DOAJ
description Testicular plasmacytomas are a rare phenomenon reported in the literature and they can occur as a solitary plasmacytoma, as a recurrence of multiple myeloma, or concurrently in an active myeloma. We report the case of a 43-year-old man who presented with back pain and was diagnosed with multiple myeloma. A CT scan performed to determine the extent of disease revealed an incidental mass in the testicle. Immunohistochemical staining of the mass revealed monoclonal cytolpasmic IgA in the tumor cells and serum studies showed this same immunoglobulin. Following orchiectomy, radiotherapy to the vertebra, chemotherapy with bortezomib, dexamethasone, and doxorubicin, and an autologous bone marrow transplant, the patient is alive twelve months after diagnosis and is in complete remission.
format Article
id doaj-art-63040cdae2794b5aaa89e2302a6abafb
institution Kabale University
issn 2090-6560
2090-6579
language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Case Reports in Hematology
spelling doaj-art-63040cdae2794b5aaa89e2302a6abafb2025-08-20T03:34:41ZengWileyCase Reports in Hematology2090-65602090-65792013-01-01201310.1155/2013/752921752921Incidental Discovery of a Testicular Plasmacytoma at Initial Presentation of Multiple MyelomaAmanda R. Hathaway0Medical University of South Carolina, 171 Ashley Avenue, Charleston, SC 29425, USATesticular plasmacytomas are a rare phenomenon reported in the literature and they can occur as a solitary plasmacytoma, as a recurrence of multiple myeloma, or concurrently in an active myeloma. We report the case of a 43-year-old man who presented with back pain and was diagnosed with multiple myeloma. A CT scan performed to determine the extent of disease revealed an incidental mass in the testicle. Immunohistochemical staining of the mass revealed monoclonal cytolpasmic IgA in the tumor cells and serum studies showed this same immunoglobulin. Following orchiectomy, radiotherapy to the vertebra, chemotherapy with bortezomib, dexamethasone, and doxorubicin, and an autologous bone marrow transplant, the patient is alive twelve months after diagnosis and is in complete remission.http://dx.doi.org/10.1155/2013/752921
spellingShingle Amanda R. Hathaway
Incidental Discovery of a Testicular Plasmacytoma at Initial Presentation of Multiple Myeloma
Case Reports in Hematology
title Incidental Discovery of a Testicular Plasmacytoma at Initial Presentation of Multiple Myeloma
title_full Incidental Discovery of a Testicular Plasmacytoma at Initial Presentation of Multiple Myeloma
title_fullStr Incidental Discovery of a Testicular Plasmacytoma at Initial Presentation of Multiple Myeloma
title_full_unstemmed Incidental Discovery of a Testicular Plasmacytoma at Initial Presentation of Multiple Myeloma
title_short Incidental Discovery of a Testicular Plasmacytoma at Initial Presentation of Multiple Myeloma
title_sort incidental discovery of a testicular plasmacytoma at initial presentation of multiple myeloma
url http://dx.doi.org/10.1155/2013/752921
work_keys_str_mv AT amandarhathaway incidentaldiscoveryofatesticularplasmacytomaatinitialpresentationofmultiplemyeloma