유방으로 전이된 다발성 골수종 1예
Metastatic Multiple Myeloma to the Breast A Case Report
김승일, 김은경, 박병우, 양우익, 이경식,
소속 상세정보
김승일 ( Kim Seung-Il )
한림대학교 의과대학 외과학교실
김은경 ( Kim Eun-Kyung )
연세대학교 의과대학 진단방사선과학교실
박병우 ( Park Byeong-Woo )
연세대학교 의과대학 외과학교실
양우익 ( Yang Woo-Ick )
연세대학교 의과대학 병리학교실
이경식 ( Lee Kyung-Sik )
연세대학교 의과대학 외과학교실
KMID : 0371320010610040445
Abstract
Metastatic foci to the breast resulting from extramammary malignant neoplasm are rare and multiple myeloma involved the breast are extremely rare. A 53 year old woman with a history of multiple myeloma, diagnosed 4 years previously, was admitted
with a
lump in her right breast. A multiple course of chemotherapy was administered. Examination revealed a palpable mass in the upper outer quadrant of the right breast. The firm and mobile mass measured 3×2 ㎝. There was no palpable axillary
lymphadenopathy. Two echo-poor solid masses were present on breast ultrasound and there was evidence of neovascularization on color Doppler. A mammogram revealed a circumscribed spheroid shadow without evidence of microcalcification, spiculation
or
any
other signs of desmoplastic response. A core biopsy revealed immature plasma cell infiltration showing kappa light chain restriction, consistent with multiple myeloma involving the breast. Another case of breast metastasis of multiple myeloma
origin is
described and a review of the literature is discussed.
키워드
다발성 골수종; 전이성 유방암; Multiple myeloma; Metastatic breast cancer;
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