A RARE CASE OF MEDIASTINAL PLASMACYTOMA MIMICKING LUNG CANCER

Dr Vishwanath Pujari; Dr Avinash; Dr Sushant Meshram; Dr Rakhi Gosavi

Volume : V, Issue : VI, June - 2016

A RARE CASE OF MEDIASTINAL PLASMACYTOMA MIMICKING LUNG CANCER

Dr Vishwanath Pujari, Dr Avinash, Dr Sushant Meshram, Dr Rakhi Gosavi

Abstract :

 Plasmacytomas are a localized proliferation of plasma cells in the bone marrow, and are less frequently seen in extra–osseous organs or tissues. Extra–medullary plasmacytoma is a rare malignant neoplasm, and is especially uncommon when it arises from the mediastinum1. Here, we report a case of mediastinal extra–medullary plasmacytoma in a 70–year–old man. He was admitted with right sided pleural effusion and para–esophageal mass which was provisionally diagnosed as onchogenic carcinoma. However subsequent investigations revealed it as a case of plasmacytoma by tissue biopsy and immunohistochemistry (IHC) later confirmed by bone marrow biopsy. Patient completed first cycle chemotherapy comprising of cyclophosphamide and thalidomide.