Case Report
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A Very Rare Relaps Type in Multiple Myeloma: Leptomenıngeal and Cranial Involvement

Year 2024, , 28 - 36, 30.04.2024
https://doi.org/10.56484/iamr.1455752

Abstract

Multiple myeloma is a hematological malignancy that develops as a result of clonal proliferation of plasma cells and progresses with remissions and relapses. It is clinically characterized by many symptoms and signs such as osteolytic bone lesions, hypercalcemia, renal dysfunction, hypergammaglobulinemia and anemia. However, involvement of the central nervous system, especially the leptomeningeal/cranial region, is a rare and prognostically important form of relapse of the disease. This case report discusses this rare clinical presentation, diagnostic approach, and treatment strategies of extramedullary involvement of multiple myeloma.

References

  • Rajkumar SV, Dimopoulos MA, Palumbo A, et al. International Myeloma Working Group updated criteria for the diagnosis of multiple myeloma. Lancet Oncol. 2014;15(12):e538-e548.
  • Fonseca R, Barlogie B, Bataille R, et al. Genetics and cytogenetics of multiple myeloma: a workshop report. Cancer Res. 2004;64(4):1546-1558.
  • Hideshima T, Bergsagel PL, Kuehl WM, Anderson KC. Advances in biology of multiple myeloma: clinical applications. Blood. 2004;104(3):607-618.
  • Roodman GD. Pathogenesis of myeloma bone disease. Leukemia. 2009;23(3):435-441.
  • Terpos E, Morgan G, Dimopoulos MA, et al. International Myeloma Working Group recommendations for the treatment of multiple myeloma-related bone disease. J Clin Oncol. 2013;31(18):2347-2357.
  • Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020;70(1):7-30.
  • Kyle RA, Rajkumar SV. Epidemiology of the plasma-cell disorders. Best Pract Res Clin Haematol. 2007;20(4):637-664.
  • Waxman AJ, Mink PJ, Devesa SS, et al. Racial disparities in incidence and outcome in multiple myeloma: a population-based study. Blood. 2010;116(25):5501-5506.
  • Roodman GD. Pathogenesis of myeloma bone disease. J Clin Oncol. 2009;27(6):968-974.
  • Dimopoulos MA, Kastritis E, Rosinol L, Blade J, Ludwig H. Pathogenesis and treatment of renal failure in multiple myeloma. Leukemia. 2008;22(8):1485-1493.
  • Paiva B, Orfao A, Dongen J. New criteria for response assessment: role of minimal residual disease in multiple myeloma. Blood. 2015
  • Usmani SZ, Heuck C, Mitchell A, et al. Extramedullary disease portends poor prognosis in multiple myeloma and is over-represented in high-risk disease even in the era of novel agents. Haematologica. 2012;97(11):1761-1767.
  • Fassas AB, Ward S, Muwalla F, et al. Myeloma of the central nervous system: strong association with unfavorable chromosomal abnormalities and other high-risk disease features. Leuk Lymphoma. 2004;45(2):291-300.
  • Gozzetti A, Cerase A, Lotti F, et al. Extramedullary intracranial localization of multiple myeloma and treatment with novel agents: a retrospective survey of 50 patients. Cancer. 2012;118(6):1574-1584.
Year 2024, , 28 - 36, 30.04.2024
https://doi.org/10.56484/iamr.1455752

Abstract

References

  • Rajkumar SV, Dimopoulos MA, Palumbo A, et al. International Myeloma Working Group updated criteria for the diagnosis of multiple myeloma. Lancet Oncol. 2014;15(12):e538-e548.
  • Fonseca R, Barlogie B, Bataille R, et al. Genetics and cytogenetics of multiple myeloma: a workshop report. Cancer Res. 2004;64(4):1546-1558.
  • Hideshima T, Bergsagel PL, Kuehl WM, Anderson KC. Advances in biology of multiple myeloma: clinical applications. Blood. 2004;104(3):607-618.
  • Roodman GD. Pathogenesis of myeloma bone disease. Leukemia. 2009;23(3):435-441.
  • Terpos E, Morgan G, Dimopoulos MA, et al. International Myeloma Working Group recommendations for the treatment of multiple myeloma-related bone disease. J Clin Oncol. 2013;31(18):2347-2357.
  • Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020;70(1):7-30.
  • Kyle RA, Rajkumar SV. Epidemiology of the plasma-cell disorders. Best Pract Res Clin Haematol. 2007;20(4):637-664.
  • Waxman AJ, Mink PJ, Devesa SS, et al. Racial disparities in incidence and outcome in multiple myeloma: a population-based study. Blood. 2010;116(25):5501-5506.
  • Roodman GD. Pathogenesis of myeloma bone disease. J Clin Oncol. 2009;27(6):968-974.
  • Dimopoulos MA, Kastritis E, Rosinol L, Blade J, Ludwig H. Pathogenesis and treatment of renal failure in multiple myeloma. Leukemia. 2008;22(8):1485-1493.
  • Paiva B, Orfao A, Dongen J. New criteria for response assessment: role of minimal residual disease in multiple myeloma. Blood. 2015
  • Usmani SZ, Heuck C, Mitchell A, et al. Extramedullary disease portends poor prognosis in multiple myeloma and is over-represented in high-risk disease even in the era of novel agents. Haematologica. 2012;97(11):1761-1767.
  • Fassas AB, Ward S, Muwalla F, et al. Myeloma of the central nervous system: strong association with unfavorable chromosomal abnormalities and other high-risk disease features. Leuk Lymphoma. 2004;45(2):291-300.
  • Gozzetti A, Cerase A, Lotti F, et al. Extramedullary intracranial localization of multiple myeloma and treatment with novel agents: a retrospective survey of 50 patients. Cancer. 2012;118(6):1574-1584.
There are 14 citations in total.

Details

Primary Language English
Subjects Haematology
Journal Section Case Report
Authors

Orhan Ayyıldız 0000-0001-5673-8408

Songül Beskisiz 0000-0001-9893-3586

Publication Date April 30, 2024
Submission Date March 19, 2024
Acceptance Date April 26, 2024
Published in Issue Year 2024

Cite

APA Ayyıldız, O., & Beskisiz, S. (2024). A Very Rare Relaps Type in Multiple Myeloma: Leptomenıngeal and Cranial Involvement. International Archives of Medical Research, 16(1), 28-36. https://doi.org/10.56484/iamr.1455752
AMA Ayyıldız O, Beskisiz S. A Very Rare Relaps Type in Multiple Myeloma: Leptomenıngeal and Cranial Involvement. IAMR. April 2024;16(1):28-36. doi:10.56484/iamr.1455752
Chicago Ayyıldız, Orhan, and Songül Beskisiz. “A Very Rare Relaps Type in Multiple Myeloma: Leptomenıngeal and Cranial Involvement”. International Archives of Medical Research 16, no. 1 (April 2024): 28-36. https://doi.org/10.56484/iamr.1455752.
EndNote Ayyıldız O, Beskisiz S (April 1, 2024) A Very Rare Relaps Type in Multiple Myeloma: Leptomenıngeal and Cranial Involvement. International Archives of Medical Research 16 1 28–36.
IEEE O. Ayyıldız and S. Beskisiz, “A Very Rare Relaps Type in Multiple Myeloma: Leptomenıngeal and Cranial Involvement”, IAMR, vol. 16, no. 1, pp. 28–36, 2024, doi: 10.56484/iamr.1455752.
ISNAD Ayyıldız, Orhan - Beskisiz, Songül. “A Very Rare Relaps Type in Multiple Myeloma: Leptomenıngeal and Cranial Involvement”. International Archives of Medical Research 16/1 (April 2024), 28-36. https://doi.org/10.56484/iamr.1455752.
JAMA Ayyıldız O, Beskisiz S. A Very Rare Relaps Type in Multiple Myeloma: Leptomenıngeal and Cranial Involvement. IAMR. 2024;16:28–36.
MLA Ayyıldız, Orhan and Songül Beskisiz. “A Very Rare Relaps Type in Multiple Myeloma: Leptomenıngeal and Cranial Involvement”. International Archives of Medical Research, vol. 16, no. 1, 2024, pp. 28-36, doi:10.56484/iamr.1455752.
Vancouver Ayyıldız O, Beskisiz S. A Very Rare Relaps Type in Multiple Myeloma: Leptomenıngeal and Cranial Involvement. IAMR. 2024;16(1):28-36.

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