A Case Report of Extramedullary Myeloma Mimicking Lymphoma with Extensive Abdominal Involvement

Jihae Moon, Jeong Ah Hwang, Hyeong Cheol Shin, Seung Soo Kim, Ji-Hye Lee, Ji Eun Lee, Seo-Youn Choi, Min-Young Lee
2019 Journal of the Korean Society of Radiology  
Extramedullary myeloma refers to the presence of myeloma deposits outside the skeletal system and typically indicates a poor prognosis associated with shorter overall survival and progression-free survival. We report a case of extramedullary myeloma with extensive, abdominal multi-organ involvement mimicking lymphoma at initial diagnosis. Bulky retroperitoneal masses with severe diffusion restriction and patency of encased vessels can be MR findings of both myeloma and lymphoma. Radiologic
more » ... ma. Radiologic findings such as arterial hyperenhancement, obstructive uropathy, and the lack of associated lymphadenopathy may favor a diagnosis of myeloma over lymphoma.
doi:10.3348/jksr.2019.80.5.997 fatcat:ns2xeagsd5hqbgvstr7fem5pvy