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Acta Médica Peruana

On-line version ISSN 1728-5917


BRANDENBURG, Thaís B; ZANINI, Júlio C  and  SCHOSSLER-LOSS, Francisco. Multiple myeloma with recurrent skin and testis metastases after an autologous bone marrow transplantation: report of a case. Acta méd. Peru [online]. 2019, vol.36, n.4, pp.291-295. ISSN 1728-5917.

We present the case of a 56-year old male subject with multiple myeloma (MM) and with plasmacytomas in both the subcutaneous tissues and testis. He had a past history of MM who underwent chemotherapy and autologous bone marrow transplantation. After four years with disease remission, he presented with bone relapse, and he received chemotherapy and immunotherapy. There was no satisfactory response to the first cycles of therapy, and there was progression of bone disease, and nodes suspicious of disease recurrence arose in the back, fists, and testes. Both back and fist lesions were resected. The anatomopathological examination showed they were compatible with malignancy, and immunohistochemistry testing confirmed MM metastases. It was decided to continue therapy for the 12 cycles originally proposed, but there was no improvement in the aforementioned lesions. New lesions appeared in subcutaneous tissues and the perianal region, and the patient’s clinical condition worsened. He died after two months receiving palliative care.

Keywords : Multiple myeloma; Metastases; Plasmacytoma; Skin neoplasms; Testicular neoplasms.

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