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  • Title: [Renal plasmacytoma. Report of a new case].
    Author: Tejido Sánchez A, Hernández Martínez E, Ortíz MC, García de la Torre JP, Pamplona Casamayor M, de la Rosa Kherman F, Leiva Galvis O.
    Journal: Arch Esp Urol; 2001 Sep; 54(7):718-22. PubMed ID: 11692439.
    Abstract:
    OBJECTIVE: To present a case of extramedullary plasmacytoma localized in the kidney. The clinical features, diagnostic tests, treatment and outcome are discussed. METHODS/RESULTS: 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. CONCLUSION: 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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