Cutaneous involvement by plasma cell myeloma with aberrant CD4 expression

Author(s):  
Philippa Li ◽  
Gauri Panse ◽  
Saurabh Singh ◽  
Stephen J. Krivda ◽  
Jennifer M. McNiff
2020 ◽  
Vol 155 (1) ◽  
pp. 106-116
Author(s):  
Gauri Panse ◽  
Antonio Subtil ◽  
Jennifer M McNiff ◽  
Earl J Glusac ◽  
Christine J Ko ◽  
...  

Abstract Objectives Plasma cell myeloma (PCM) involving skin is rare and occurs in 1% to 4% of patients with PCM. We evaluated the clinicopathologic features, cytogenetic findings and clinical follow-up in a series of PCM cases with cutaneous involvement. Methods Cases of PCM with cutaneous involvement were retrospectively reviewed with clinical data. Results Skin involvement in PCM occurred in older individuals (mean, 75 years) and was more frequent in men (7/10 patients). All cases showed bone marrow involvement preceding the cutaneous lesions. Histopathologically, the infiltrate was plasmacytic (n = 5) or primitive or plasmablastic (n = 4), and 1 case showed predominantly lymphoplasmacytic features with cyclin D1 immunoreactivity and CCND1 gene rearrangement. Concurrent amyloid deposition was seen in one biopsy, and another case demonstrated coexisting squamous cell carcinoma. The most common immunophenotype was CD138+, CD20–, and CD56+ with light chain restriction. Cytogenetic analysis (available for 7 cases) showed multiple hyperdiploid abnormalities. Follow-up was available for 8 cases (mean, 42 months; range, 11-156 months) and showed short-term disease-related death in 7 of 8 patients. Conclusions Cutaneous involvement in PCM demonstrates a diverse cytomorphologic spectrum with plasmacytic, plasmablastic, or lymphoplasmacytic features and may show concurrent amyloid deposition or neoplasms such as squamous cell carcinoma. Cutaneous involvement typically occurs late in the course of the disease and likely portends poor outcome.


2021 ◽  
Author(s):  
Ágnes Czeti ◽  
Gábor Szalóki ◽  
Gergely Varga ◽  
Virág Réka Szita ◽  
Zsolt István Komlósi ◽  
...  

2017 ◽  
Vol 106 (3) ◽  
pp. 307-309
Author(s):  
Jianfeng Zhu ◽  
Baishen Pan ◽  
Jiamei Yao ◽  
Wei Guo

1984 ◽  
Vol 76 (5) ◽  
pp. 861-867 ◽  
Author(s):  
William R. Strand ◽  
Peter M. Banks ◽  
Robert A. Kyle

2012 ◽  
Vol 15 (4) ◽  
pp. 339-342 ◽  
Author(s):  
Karla Gisela Garcéa-Álvarez ◽  
Roberto Garibaldi-Covarrubias ◽  
Maréa Rosa Flores-Márquez ◽  
Carlos Ortiz-Hidalgo

2012 ◽  
Vol 12 (6) ◽  
pp. 459-462 ◽  
Author(s):  
Preetesh Jain ◽  
Srdan Verstovsek ◽  
Robert Z. Orlowski ◽  
Ernie Yap ◽  
Hesham M. Amin

2009 ◽  
Vol 202 (1-6) ◽  
pp. 5-10 ◽  
Author(s):  
H. Mellstedt ◽  
M. Björkholm ◽  
G. Holm

2021 ◽  
pp. 1-10
Author(s):  
Youngeun Lee ◽  
Jiwon Yun ◽  
Dajeong Jeong ◽  
Sohee Ryu ◽  
Seok Ryun Kwon ◽  
...  

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