Choroidal plasmacytoma in a patient with multiple myeloma. Diagnosis by fine-needle aspiration biopsy

Melis Palamar, Carol L. Shields, Fariba Ghassemi, Hormoz Ehya, Jerry A. Shields

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Background: To report a case of a secondary plasmacytoma of the choroid. Methods: Interventional case report with cytopathologic correlation. Results: A 61-year-old male with a breast nodule and a 2-year history of multiple myeloma developed blurred vision and was found to have three confluent, ill-defined areas of choroidal thickening in the left eye. Cytopathology and immunohistochemistry of a transocular fine-needle aspiration biopsy of the largest lesion revealed atypical plasma cells diagnostic of plasmacytoma. Following external beam radiotherapy the choroidal tumors resolved completely. Conclusion: Secondary plasmacytoma, despite its rarity, should be included in the differential diagnosis of amelanotic choroidal tumors, particularly in patients with multiple myeloma. Radiotherapy is an effective treatment.

Original languageEnglish
Pages (from-to)1195-1197
Number of pages3
JournalGraefe's Archive for Clinical and Experimental Ophthalmology
Volume246
Issue number8
DOIs
StatePublished - Aug 2008

Keywords

  • Choroid
  • Eye
  • Fine needle aspiration biopsy
  • Multiple myeloma
  • Plasmacytoma
  • Radiotherapy
  • Tumor

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