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Case 204 - Discussion

Uploaded: 2011-09-22, Updated: 2011-09-22

 

Plasma Cell Myeloma

  • Neoplastic plasma cells may show a variety of morphologic features, including mature, intermediate, immature, and plasmablatic features. Some myeloma cells may even be lymphoid-appearing. Therefore, it is probably worthwhile to perform CD138 immunostain if no apparent plasma cells are noted in the marrow

  • Also, solitary plasmacytoma may present  at the extramarrow sites without typical clinical presentations or marrow involvement; occasionally, the tumor cells may not be plasma cell-appearing at all, which can resemble poorly differentiated carcinoma, sarcoma, melanoma or lymphoma. Therefore, plasmacytoma should be considered as one of the differential diagnoses for a wired tumor of unknown origin