Multiple Myeloma Presenting as a Parotid Mass

Objective:       To present the case of a patient with left facial swelling as the primary manifestation of Multiple Myeloma, and discuss the surgical management, diagnostic dilemma, and subsequent medical management done for this unusual presentation.   Methods: Design:           Case Repo...

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Bibliographic Details
Main Authors: Benedick B. Borbe, Samantha S. Castaneda
Format: Article
Language:English
Published: Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. 2018-07-01
Series:Philippine Journal of Otolaryngology Head and Neck Surgery
Subjects:
Online Access:https://pjohns.pso-hns.org/index.php/pjohns/article/view/33
Description
Summary:Objective:       To present the case of a patient with left facial swelling as the primary manifestation of Multiple Myeloma, and discuss the surgical management, diagnostic dilemma, and subsequent medical management done for this unusual presentation.   Methods: Design:           Case Report Setting:           Tertiary Government Hospital Patient:           One (1)   Results:           A 55-year old man with an enlarging left pre-auricular mass of one (1) year duration underwent superficial parotidectomy with facial nerve preservation and selective lymphadenectomy for pleomorphic adenoma based on initial clinical and cytologic findings. Histopathologic examination showed plasmacytoid proliferation, and subsequent work-ups finally revealed Multiple Myeloma.   Conclusion:    Emphasized in this case report is the thorough work-up and targeted therapy needed for the timely diagnosis and treatment of a patient with Multiple Myeloma.   Keywords: Multiple myeloma, plasmacytoma, parotid gland, pleomorphic adenoma
ISSN:1908-4889
2094-1501