Central nervous system manifestations as initial presentation of plasma cell disorders: Differential management of 3 cases based on disease extent

Central nervous system (CNS) manifestations of plasma cell neoplasms are exceedingly uncommon. CNS multiple myeloma (MM) carries a dismal prognosis, and limited evidence exists to guide management of these patients. We report on 3 adult patients with plasma cell neoplasms that presented with CNS man...

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Main Authors: Kyle McGrath, Graeme A. Fenton, Robert P. Seifert, Keith R. Peters, John W. Hiemenz, Erin A. Dean
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Current Problems in Cancer: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666621923000315
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author Kyle McGrath
Graeme A. Fenton
Robert P. Seifert
Keith R. Peters
John W. Hiemenz
Erin A. Dean
author_facet Kyle McGrath
Graeme A. Fenton
Robert P. Seifert
Keith R. Peters
John W. Hiemenz
Erin A. Dean
author_sort Kyle McGrath
collection DOAJ
description Central nervous system (CNS) manifestations of plasma cell neoplasms are exceedingly uncommon. CNS multiple myeloma (MM) carries a dismal prognosis, and limited evidence exists to guide management of these patients. We report on 3 adult patients with plasma cell neoplasms that presented with CNS manifestations. After summarizing their clinical presentation along with radiologic and pathologic findings, we focus on the patients’ differential management depending on extent of disease while reviewing the literature on frontline therapy in this rare disease scenario.
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spelling doaj.art-ce2d960b51604a899652517f73d332d62023-09-23T05:12:50ZengElsevierCurrent Problems in Cancer: Case Reports2666-62192023-09-0111100247Central nervous system manifestations as initial presentation of plasma cell disorders: Differential management of 3 cases based on disease extentKyle McGrath0Graeme A. Fenton1Robert P. Seifert2Keith R. Peters3John W. Hiemenz4Erin A. Dean5College of Medicine, University of Florida, Gainesville, FL, USACollege of Medicine, University of Florida, Gainesville, FL, USADepartment of Pathology, University of Florida, Gainesville, FL, USADepartment of Radiology, University of Florida, Gainesville, FL, USADepartment of Medicine, Division of Hematology and Oncology, University of Florida, Gainesville, FL, USADepartment of Medicine, Division of Hematology and Oncology, University of Florida, Gainesville, FL, USA; Corresponding author.Central nervous system (CNS) manifestations of plasma cell neoplasms are exceedingly uncommon. CNS multiple myeloma (MM) carries a dismal prognosis, and limited evidence exists to guide management of these patients. We report on 3 adult patients with plasma cell neoplasms that presented with CNS manifestations. After summarizing their clinical presentation along with radiologic and pathologic findings, we focus on the patients’ differential management depending on extent of disease while reviewing the literature on frontline therapy in this rare disease scenario.http://www.sciencedirect.com/science/article/pii/S2666621923000315Intracranial plasma cell neoplasmsSolitary plasmacytomaMultiple myelomaFrontline therapyAutologous hematopoietic stem cell transplant
spellingShingle Kyle McGrath
Graeme A. Fenton
Robert P. Seifert
Keith R. Peters
John W. Hiemenz
Erin A. Dean
Central nervous system manifestations as initial presentation of plasma cell disorders: Differential management of 3 cases based on disease extent
Current Problems in Cancer: Case Reports
Intracranial plasma cell neoplasms
Solitary plasmacytoma
Multiple myeloma
Frontline therapy
Autologous hematopoietic stem cell transplant
title Central nervous system manifestations as initial presentation of plasma cell disorders: Differential management of 3 cases based on disease extent
title_full Central nervous system manifestations as initial presentation of plasma cell disorders: Differential management of 3 cases based on disease extent
title_fullStr Central nervous system manifestations as initial presentation of plasma cell disorders: Differential management of 3 cases based on disease extent
title_full_unstemmed Central nervous system manifestations as initial presentation of plasma cell disorders: Differential management of 3 cases based on disease extent
title_short Central nervous system manifestations as initial presentation of plasma cell disorders: Differential management of 3 cases based on disease extent
title_sort central nervous system manifestations as initial presentation of plasma cell disorders differential management of 3 cases based on disease extent
topic Intracranial plasma cell neoplasms
Solitary plasmacytoma
Multiple myeloma
Frontline therapy
Autologous hematopoietic stem cell transplant
url http://www.sciencedirect.com/science/article/pii/S2666621923000315
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