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Publication Type
Journal Article
Author, Analytic
Leake, Pierre-Anthony E.; Coard, Kathleen; Plummer, Joseph M.
Author Affiliation, Ana.
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Article Title
Plasmacytoma of the pancreas an uncommon cause of obstructive jaundice: a case report.
Medium Designator
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Connective Phrase
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Journal Title
Journal of Medical Case Report
Translated Title
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Reprint Status
Refereed
Date of Publication
2009
Volume ID
6
Issue ID
3
Page(s)
8785
Language
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Connective Phrase
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Location/URL
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ISSN
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Notes
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Abstract
INTRODUCTION: Though uncommon, extramedullary plasmacytoma of the pancreas should be considered in the differential diagnosis of obstructive jaundice and pancreatic neoplasms. This report highlights a case of obstructive jaundice in a 46-year-old West Indian man that resulted from an extramedullary plasmacytoma. CASE PRESENTATION: A 46-year-old West Indian man presented to our hospital with evidence of a significant upper gastrointestinal bleed. He gave a recent history of jaundice, constitutional symptoms and back pain. Ultrasonography revealed a mass in the head of the pancreas with resultant common bile duct dilatation. The patient required urgent surgical intervention for ongoing bleeding at which time a biopsy of the pancreas was taken. Histological analysis revealed a plasmacytoma of the pancreas. A blood film showing rouleaux formation and a skeletal survey demonstrating multiple lytic lesions confirmed multiple myeloma. Before further evaluation or treatment was carried out, the patient defaulted from follow-up and died from his illness seven months later. CONCLUSION: This case represents an example of multiple myeloma with visceral involvement, brought to clinical attention through involvement of the pancreas. The report serves to reaffirm knowledge of the various presentations, the optimal diagnostic tools and the current proposed treatment strategies for extramedullary plasmacytomas of the pancreas.....
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