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Primary Pulmonary Plasmacytoma*: A Case Report

James N. Wise, MD; Robert F. Schaefer, MD; Raymond C. Read, MD, FCCP
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*From the Department of Radiology (Dr. Wise), Massachusetts General Hospital, Boston, MA; and the Departments of Anatomic Pathology (Dr. Schaefer) and General Thoracic Surgery (Dr. Read), Central Arkansas Veterans Healthcare Center, Little Rock, AK.

Correspondence to: James N. Wise, MD, Department of Radiology, Massachusetts General Hospital, 55 Fruit St, FND 216, Boston, MA 02114; e-mail: jnwise@hotmail.com



Chest. 2001;120(4):1405-1407. doi:10.1378/chest.120.4.1405
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Most extramedullary plasmacytomas are associated with the upper respiratory tract. Primary pulmonary plasmacytomas are rare, and the treatment is surgical excision. This malignancy advances to multiple myeloma in a minority of patients. The patient in our case report is the first to experience renal failure due to hematologic monoclonal gammopathy. Postoperatively, serum protein electrophoresis reverted to normal.

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