Indian Journal of Dermatology
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Year : 2016  |  Volume : 61  |  Issue : 1  |  Page : 120

Plasma cell neoplasm manifesting initially as a sub-cutaneous supra-orbital swelling

1 Department of Pathology, King George's Medical University, Lucknow, Uttar Pradesh, India
2 Department of Radiation Oncology, King George's Medical University, Lucknow, Uttar Pradesh, India

Correspondence Address:
Riddhi Jaiswal
Department of Pathology, King George's Medical University, Lucknow, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5154.174093

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Multiple myeloma is a plasma cell neoplasm seen usually in patients over 50 years of age. Some cases may be asymptomatic initially and are detected during a routine test like complete blood count. They only require a close follow-up and monitoring. However, around 1% of these monoclonal gammopathy of undetermined significance progress to multiple myeloma every year and then they need to be taken care of by chemotherapy, targeted therapy, bisphosphonates and 6 monthly urine and bone examinations. Here, we present a case of 35-year-old female with an initial symptom of a vague backache along with a left subcutaneous supra-orbital swelling which was diagnosed as multiple myeloma by aspiration cytology and confirmed by ancillary tests. She has since been on treatment with bortezomib and prednisone and is responding well.

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