Multiple Solitary Plasmacytoma of Chest Wall and Scalp with Extramedullary Solitary Plasmacytoma of Orbit Occurring Simultaneously: A Rare Case Report

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Abstract

Extramedullary plasmacytoma concurrent with multiple solitary plasmacytoma is very rare presentation and multiple myeloma should be excluded very vigilantly in these cases. Though radiotherapy is treatment of choice but conventional oral chemotherapy can also give equivalent results in few cases. Close follow up is required as most of the cases develop multiple myeloma in future. Plasmacytoma of orbit and subcutaneous tissue with no systemic involvement at present may be the first of its kind to be reported to the best of our knowledge. Treatment with alkylating chemotherapy reduces tumour bulk. However, the risk of progression to multiple myeloma being not yet documented should always be kept in mind.