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Molecular and Clinical Oncology
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Print ISSN: 2049-9450 Online ISSN: 2049-9469
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November-2021 Volume 15 Issue 5

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Case Report Open Access

Pleural effusion and multiple myeloma ‑ more than meets the eye: A case report

  • Authors:
    • Ana Luísa Ramos
    • Miguel Trindade
    • André Santos Pinto
    • José Ricardo Brandão
    • Cláudia Pedrosa
    • Alexandre Pinto
  • View Affiliations / Copyright

    Affiliations: Pulmonology Department, Egas Moniz Hospital, 1349‑019 Lisbon, Portugal, Medicine Department, Fernando Fonseca Hospital, 2720‑276 Amadora, Portugal, Medicine Department, West Hospital Center‑Torres Vedras, 2560‑324 Torres Vedras, Portugal, Department of Pathological Anatomy, University Hospital Center of Porto, 4099‑901 Porto, Portugal, Department of Clinical Hematology, University Hospital Center of Porto, 4099‑901 Porto, Portugal, Department of Intensive Care, University Hospital Center of Porto, 4099‑901 Porto, Portugal
    Copyright: © Ramos et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 238
    |
    Published online on: September 20, 2021
       https://doi.org/10.3892/mco.2021.2401
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Abstract

Multiple myeloma (MM) accounts for 1% of all cancers. It consists of malignant proliferation of plasma cells, which is often associated with hypersecretion of a monoclonal protein. Pleural effusion (PE) in MM is not an uncommon finding, comprising about 6‑14% of patients with MM. The most common causes of MM‑associated PE are congestive heart failure, renal failure, parapneumonic effusion and amyloidosis. In <1% of cases, the effusion is a direct result of MM, designated as myelomatous PE (MPE). MPE is usually a diagnosis of exclusion and carries a poor prognosis. Therefore, efforts should be made to optimally detect MPE. The present report describes an MPE associated with IgG/λ MM presenting as a septic shock and renal failure in which a rare diagnosis was made after excluding all other possible etiologies in a complex intensive care patient.
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Copy and paste a formatted citation
Spandidos Publications style
Ramos AL, Trindade M, Pinto AS, Brandão JR, Pedrosa C and Pinto A: Pleural effusion and multiple myeloma ‑ more than meets the eye: A case report. Mol Clin Oncol 15: 238, 2021.
APA
Ramos, A.L., Trindade, M., Pinto, A.S., Brandão, J.R., Pedrosa, C., & Pinto, A. (2021). Pleural effusion and multiple myeloma ‑ more than meets the eye: A case report. Molecular and Clinical Oncology, 15, 238. https://doi.org/10.3892/mco.2021.2401
MLA
Ramos, A. L., Trindade, M., Pinto, A. S., Brandão, J. R., Pedrosa, C., Pinto, A."Pleural effusion and multiple myeloma ‑ more than meets the eye: A case report". Molecular and Clinical Oncology 15.5 (2021): 238.
Chicago
Ramos, A. L., Trindade, M., Pinto, A. S., Brandão, J. R., Pedrosa, C., Pinto, A."Pleural effusion and multiple myeloma ‑ more than meets the eye: A case report". Molecular and Clinical Oncology 15, no. 5 (2021): 238. https://doi.org/10.3892/mco.2021.2401
Copy and paste a formatted citation
x
Spandidos Publications style
Ramos AL, Trindade M, Pinto AS, Brandão JR, Pedrosa C and Pinto A: Pleural effusion and multiple myeloma ‑ more than meets the eye: A case report. Mol Clin Oncol 15: 238, 2021.
APA
Ramos, A.L., Trindade, M., Pinto, A.S., Brandão, J.R., Pedrosa, C., & Pinto, A. (2021). Pleural effusion and multiple myeloma ‑ more than meets the eye: A case report. Molecular and Clinical Oncology, 15, 238. https://doi.org/10.3892/mco.2021.2401
MLA
Ramos, A. L., Trindade, M., Pinto, A. S., Brandão, J. R., Pedrosa, C., Pinto, A."Pleural effusion and multiple myeloma ‑ more than meets the eye: A case report". Molecular and Clinical Oncology 15.5 (2021): 238.
Chicago
Ramos, A. L., Trindade, M., Pinto, A. S., Brandão, J. R., Pedrosa, C., Pinto, A."Pleural effusion and multiple myeloma ‑ more than meets the eye: A case report". Molecular and Clinical Oncology 15, no. 5 (2021): 238. https://doi.org/10.3892/mco.2021.2401
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