Extramedular plasmacytoma in the urinary bladder: Unusual localization

Background. Multiple myeloma is a plasmaproliferative disease characterized by the uncontrolled proliferation of a pathogenic plasma cell clone engaged in the production of monoclonal immunoglobulin. This condition affects the bone marrow, but it can be manifested in any other organ or tissue. The u...

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Main Authors: Rabrenović Violeta, Kovačević Zoran, Jovanović Dragan, Rabrenović Milorad, Milović Novak, Cerović Snežana
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2006-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2006/0042-84500611975R.pdf
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author Rabrenović Violeta
Kovačević Zoran
Jovanović Dragan
Rabrenović Milorad
Milović Novak
Cerović Snežana
author_facet Rabrenović Violeta
Kovačević Zoran
Jovanović Dragan
Rabrenović Milorad
Milović Novak
Cerović Snežana
author_sort Rabrenović Violeta
collection DOAJ
description Background. Multiple myeloma is a plasmaproliferative disease characterized by the uncontrolled proliferation of a pathogenic plasma cell clone engaged in the production of monoclonal immunoglobulin. This condition affects the bone marrow, but it can be manifested in any other organ or tissue. The urinary bladder involvement is extremely rare. Case report. We reported a 70-year-old male with the history of multiple myeloma, receiving chemotherapy containing melphalan and prednisone (MP). Two years after the treatment, there was a renal failure associated with oligoanuria, hematuria and bilateral hydronephrosis. The urine cytology tests revealed the atypical cells, so was suspected obstructive uropathy to be caused by urothelium cancer. However, only upon the cystoscopy and biopsy performed on the urinary bladder mass, plasmacytoid infiltration diagnosis was confirmed. This extremely rare variant was presented throughout the illness period and proved to be resistant to the administered chemotherapy. Conclusion. When renal failure associated with hematuria and bilateral hydronephrosis is presented in a patient with multiple myeloma, this unusual and rare extramedular localization should be also considered.
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publisher Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
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series Vojnosanitetski Pregled
spelling doaj-art-792b898b888648e9a0ba104e7c756c792025-08-20T03:06:40ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502006-01-01631197597810.2298/VSP0611975RExtramedular plasmacytoma in the urinary bladder: Unusual localizationRabrenović VioletaKovačević ZoranJovanović DraganRabrenović MiloradMilović NovakCerović SnežanaBackground. Multiple myeloma is a plasmaproliferative disease characterized by the uncontrolled proliferation of a pathogenic plasma cell clone engaged in the production of monoclonal immunoglobulin. This condition affects the bone marrow, but it can be manifested in any other organ or tissue. The urinary bladder involvement is extremely rare. Case report. We reported a 70-year-old male with the history of multiple myeloma, receiving chemotherapy containing melphalan and prednisone (MP). Two years after the treatment, there was a renal failure associated with oligoanuria, hematuria and bilateral hydronephrosis. The urine cytology tests revealed the atypical cells, so was suspected obstructive uropathy to be caused by urothelium cancer. However, only upon the cystoscopy and biopsy performed on the urinary bladder mass, plasmacytoid infiltration diagnosis was confirmed. This extremely rare variant was presented throughout the illness period and proved to be resistant to the administered chemotherapy. Conclusion. When renal failure associated with hematuria and bilateral hydronephrosis is presented in a patient with multiple myeloma, this unusual and rare extramedular localization should be also considered.http://www.doiserbia.nb.rs/img/doi/0042-8450/2006/0042-84500611975R.pdfplasmacytomabladderhydronephrosishistology
spellingShingle Rabrenović Violeta
Kovačević Zoran
Jovanović Dragan
Rabrenović Milorad
Milović Novak
Cerović Snežana
Extramedular plasmacytoma in the urinary bladder: Unusual localization
Vojnosanitetski Pregled
plasmacytoma
bladder
hydronephrosis
histology
title Extramedular plasmacytoma in the urinary bladder: Unusual localization
title_full Extramedular plasmacytoma in the urinary bladder: Unusual localization
title_fullStr Extramedular plasmacytoma in the urinary bladder: Unusual localization
title_full_unstemmed Extramedular plasmacytoma in the urinary bladder: Unusual localization
title_short Extramedular plasmacytoma in the urinary bladder: Unusual localization
title_sort extramedular plasmacytoma in the urinary bladder unusual localization
topic plasmacytoma
bladder
hydronephrosis
histology
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2006/0042-84500611975R.pdf
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AT kovaceviczoran extramedularplasmacytomaintheurinarybladderunusuallocalization
AT jovanovicdragan extramedularplasmacytomaintheurinarybladderunusuallocalization
AT rabrenovicmilorad extramedularplasmacytomaintheurinarybladderunusuallocalization
AT milovicnovak extramedularplasmacytomaintheurinarybladderunusuallocalization
AT cerovicsnezana extramedularplasmacytomaintheurinarybladderunusuallocalization