Renal plasmacytoma. Report of a new case

To present a case of extramedullary plasmacytoma localized in the kidney. The clinical features, diagnostic tests, treatment and outcome are discussed. A 59-year-old patient presented with a right renal mass and renal failure. The complementary tests showed a lambda monoclonal band in blood and urin...

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Veröffentlicht in:Archivos españoles de urología 2001-09, Vol.54 (7), p.718-722
Hauptverfasser: Tejido Sánchez, A, Hernández Martínez, E, Ortíz, M C, García de la Torre, J P, Pamplona Casamayor, M, de la Rosa Kherman, F, Leiva Galvis, O
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container_title Archivos españoles de urología
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creator Tejido Sánchez, A
Hernández Martínez, E
Ortíz, M C
García de la Torre, J P
Pamplona Casamayor, M
de la Rosa Kherman, F
Leiva Galvis, O
description To present a case of extramedullary plasmacytoma localized in the kidney. The clinical features, diagnostic tests, treatment and outcome are discussed. A 59-year-old patient presented with a right renal mass and renal failure. The complementary tests showed a lambda monoclonal band in blood and urine, and a left renal biopsy showed changes compatible with myeloma. The definitive diagnosis of plasmacytoma was based on the findings of open renal biopsy since fine needle punction findings were compatible with a carcinoma. The patient received polychemotherapy, but died one year after the diagnosis due to a rapidly progressing plasmatic cell dyscrasia. Renal plasmacytoma is rare and should be suspected when paraprotein is detected in blood and urine, and when the patient has a history of plasmatic cell dyscrasia. There is no widely-established treatment. Surgery, radiotherapy or chemotherapy, alone or in combination, can be utilized.
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subjects Humans
Kidney Neoplasms - diagnosis
Male
Middle Aged
Plasmacytoma - diagnosis
title Renal plasmacytoma. Report of a new case
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