Multiple Myeloma with Intracranial Distribution
https://doi.org/10.20862/0042-4676-2023-104-1-56-61
Abstract
Multiple myeloma (MM) is a malignant immunoproliferative disease involving plasma cells, leading to their malignant proliferation and the production of monoclonal paraproteins. Intracranial tumor spread in MM is very rare. This is a unique and infrequent localization, which makes it difficult to diagnose the disease. We report a rare case of treatment of a patient with MM intracranial spread, whose disease was presumably in remission and recurred as an intracranial plasmacytoma with a clinical picture of acute cerebrovascular accident. Surgical intervention was performed to remove the tumor, a histopathological analysis of the removed tissue was carried out. Even with early diagnosis, the prognosis remains bleak, with median survival rates of 3 to 6 months. However, aggressive multimodal treatment can prolong life by months.
About the Authors
A. Yu. Rynda
City Mariinsky Hospital
Russian Federation
Russian Federation
Artemii Yu. Rynda, Cand. Med. Sc., Neurosurgeon, Neurosurgery Department
Liteynyy prospekt, 56, Saint Petersburg, 191014
О. А. Pavlov
City Mariinsky Hospital
Russian Federation
Russian Federation
Оleg А. Pavlov, Cand. Med. Sc., Head of Neurosurgery Department
Liteynyy prospekt, 56, Saint Petersburg, 191014
О. P. Verbitskiy
City Mariinsky Hospital
Russian Federation
Russian Federation
Оleg P. Verbitskiy, Cand. Med. Sc., Neurosurgeon, Neurosurgery Department
Liteynyy prospekt, 56, Saint Petersburg, 191014
D. А. Sitovskaya
City Mariinsky Hospital
Russian Federation
Russian Federation
Daria А. Sitovskaya, Pathologist, Pathomorphology Department
Liteynyy prospekt, 56, Saint Petersburg, 191014
M. Yu. Podgornyak
City Mariinsky Hospital
Russian Federation
Russian Federation
Marina Yu. Podgornyak, Cand. Med. Sc., Neurosurgeon, Neurosurgery Department
Liteynyy prospekt, 56, Saint Petersburg, 191014
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Review
For citations:
Rynda A.Yu., Pavlov О.А., Verbitskiy О.P., Sitovskaya D.А., Podgornyak M.Yu. Multiple Myeloma with Intracranial Distribution. Journal of radiology and nuclear medicine. 2023;104(1):56-61. (In Russ.) https://doi.org/10.20862/0042-4676-2023-104-1-56-61
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