Case Report
Volume: 8 | Issue: 7 | Published: Jul 21, 2024 | Pages: 146 - 149 | DOI: 10.24911/ejmcr.173-1689784043
A case report on pancreatic plasmacytoma presenting as obstructive jaundice
Authors: Asiya Tafader , Mahum Nadeem , Joseph Spataro
Article Info
Authors
Asiya Tafader
Division of Gastroenterology, Central Virginia VA Health Care System, Richmond, VA Division of Gastroenterology, Central Virginia VA Health Care System, Richmond, VA
Mahum Nadeem
Division of Gastroenterology, Central Virginia VA Health Care System, Richmond, VA Division of Gastroenterology, Virginia Commonwealth University, Richmond, VA
Joseph Spataro
Division of Gastroenterology, Central Virginia VA Health Care System, Richmond, VA Division of Gastroenterology, Virginia Commonwealth University, Richmond, VA.
Publication History
Received: July 19, 2023
Accepted:
Published: July 21, 2024
Abstract
Background: Extramedullary solitary plasmacytomas (EMD) are an uncommon manifestation of plasma cell disorders. The median survival rate is less than 6 months. EMD rarely involves the digestive tract, the liver is the most common site with only a 2.3% incidence rate for pancreatic involvement. Case Presentation: We report a case of a patient with a history of multiple myeloma who presented with painless obstructive jaundice and EUS findings of hypoechoic, solid irregular mass in the pancreatic head with surrounding peripancreatic lymphadenopathy. Fine needle aspirate (FNA) confirmed malignant infiltration of plasma cell neoplasm. The patient rapidly deteriorated and succumbed to his illness within 6 weeks of diagnosis. Conclusion: Extramedullary plasmacytomas (EMD) involving the pancreas are uncommon and associated with a poor prognosis. Our case highlights the importance of considering extramedullary plasmacytoma when a patient with MM presents with a pancreatic mass, particularly one showing a rapid interval growth. This rate of growth is not seen with primary pancreatic parenchymal diseases such as cancer, cysts, and so on. This case highlights the importance of considering rare differentials while evaluating patients with pancreatic mass.
Keywords: Case report, extramedullary plasmacytoma, pancreatic plasmacytoma, multiple myeloma, pancreatic mass, green
Pubmed Style
Asiya Tafader, Mahum Nadeem, Joseph Spataro. A case report on pancreatic plasmacytoma presenting as obstructive jaundice. EJMCR. 2024; 21 (July 2024): 146-149. doi:10.24911/ejmcr.173-1689784043
Web Style
Asiya Tafader, Mahum Nadeem, Joseph Spataro. A case report on pancreatic plasmacytoma presenting as obstructive jaundice. https://ejmcr.com/articles/1212 [Access: December 25, 2024]. doi:10.24911/ejmcr.173-1689784043
AMA (American Medical Association) Style
Asiya Tafader, Mahum Nadeem, Joseph Spataro. A case report on pancreatic plasmacytoma presenting as obstructive jaundice. EJMCR. 2024; 21 (July 2024): 146-149. doi:10.24911/ejmcr.173-1689784043
Vancouver/ICMJE Style
Asiya Tafader, Mahum Nadeem, Joseph Spataro. A case report on pancreatic plasmacytoma presenting as obstructive jaundice. EJMCR. (2024), [cited December 25, 2024]; 21 (July 2024): 146-149. doi:10.24911/ejmcr.173-1689784043
Harvard Style
Asiya Tafader, Mahum Nadeem, Joseph Spataro (2024) A case report on pancreatic plasmacytoma presenting as obstructive jaundice. EJMCR, 21 (July 2024): 146-149. doi:10.24911/ejmcr.173-1689784043
Chicago Style
Asiya Tafader, Mahum Nadeem, Joseph Spataro. "A case report on pancreatic plasmacytoma presenting as obstructive jaundice." 21 (2024), 146-149. doi:10.24911/ejmcr.173-1689784043
MLA (The Modern Language Association) Style
Asiya Tafader, Mahum Nadeem, Joseph Spataro. "A case report on pancreatic plasmacytoma presenting as obstructive jaundice." 21.July 2024 (2024), 146-149. Print. doi:10.24911/ejmcr.173-1689784043
APA (American Psychological Association) Style
Asiya Tafader, Mahum Nadeem, Joseph Spataro (2024) A case report on pancreatic plasmacytoma presenting as obstructive jaundice. , 21 (July 2024), 146-149. doi:10.24911/ejmcr.173-1689784043