Annals of Diagnostic Pathology
Volume 14, Issue 1 , Pages 30-35 , February 2010

Plasma cell myeloma presenting with diffuse pleural involvement: a hitherto unreported pattern of a new mesothelioma mimicker

  • Antonio Colonna, MD

      Affiliations

    • Department of Pathology, General Hospital, Gorizia, Italy
  • ,
  • Gabriela Gualco, MD

      Affiliations

    • Consultoria em Patologia, Botucatu, SP, Brazil
  • ,
  • Carlos E. Bacchi, MD

      Affiliations

    • Consultoria em Patologia, Botucatu, SP, Brazil
  • ,
  • Marcia Araujo Leite, MD

      Affiliations

    • Department of Hematology, Caxias do Sul, RS, Brazil
  • ,
  • Maurizio Rocco, MD

      Affiliations

    • Department of Pathology, General Hospital S. Maria della Misericordia, Udine, Italy
  • ,
  • Giovanna DeMaglio, ScD

      Affiliations

    • Department of Pathology, General Hospital S. Maria della Misericordia, Udine, Italy
  • ,
  • Stefano Pizzolitto, MD

      Affiliations

    • Department of Pathology, General Hospital S. Maria della Misericordia, Udine, Italy
  • ,
  • Giovanni Falconieri, MD

      Affiliations

    • Department of Pathology, General Hospital S. Maria della Misericordia, Udine, Italy
    • Corresponding Author InformationCorresponding author. Department of Pathology, General Hospital and University Hospital, S. Maria della Misericordia, I 33100 Udine, Italy. Tel.: +39 0432 552826; fax: +39 0432 552830.

References 

  1. Falconieri G, Zanconati F, Bussani R, Di Bonito L. Small cell carcinoma of lung simulating pleural mesothelioma. Report of 4 cases with autopsy confirmation. Pathol Res Pract. 1995;191:1147–1152
  2. Harwood TR, Gracey DR, Yokoo H. Pseudomesotheliomatous carcinoma of the lung. A variant of peripheral lung cancer. Am J Clin Pathol. 1976;65:159–167
  3. Koss M, Travis W, Moran C, Hochholzer L. Pseudomesotheliomatous adenocarcinoma: a reappraisal. Semin Diagn Pathol. 1992;9:117–123
  4. Falconieri G, Bussani R, Mirra M, Zanella M. Pseudomesotheliomatous angiosarcoma: a pleuropulmonary lesion simulating malignant pleural mesothelioma. Histopathology. 1997;30:419–424
  5. Lin BT, Colby T, Gown AM, et al. Malignant vascular tumors of the serous membranes mimicking mesothelioma. A report of 14 cases. Am J Surg Pathol. 1996;20:1431–1439
  6. Zhang PJ, Livolsi VA, Brooks JJ. Malignant epithelioid vascular tumors of the pleura: report of a series and literature review. Hum Pathol. 2000;31:29–34
  7. Salviato T, Altavilla G, Busatto G, Pizzolitto S, Falconieri G. Diffuse intra-abdominal clear cell myomelanocytic tumor: report of an unusual presentation of “PEComatosis” simulating peritoneal mesothelioma. Ann Diagn Pathol. 2006;10:352–356
  8. Attanoos RL, Galateau-Salle F, Gibbs AR, Muller S, Ghandour F, Dojcinov SD. Primary thymic epithelial tumours of the pleura mimicking malignant mesothelioma. Histopathology. 2002;41:42–49
  9. Churg AM, Cagle PT, Roggli VL, American Registry of Pathology , Armed Forces Institute of Pathology (U.S.) . Tumors of the serosal membranes. Silver Spring (Md): American Registry of Pathology in collaboration with the Armed Forces Institute of Pathology; ARP Press, 2006 AFIP atlas of tumor pathology; 2006;Fourth series fasc. 3
  10. Swerdlow SH, Campo E, Harris NL, et al. WHO classification of tumours of haematopoietic and lymphoid tissues. Lyon: IARC Press; 2008;
  11. Inoue Y, Chua K, McClure RF, et al. Multiple myeloma presenting initially as a solitary pleural effusion later complicated by malignant plasmacytic ascites. Leuk Res. 2005;29:715–718
  12. Chang H, Chou WC, Lee SY, Huang JY, Hung YH. Myelomatous pleural effusion in a patient with plasmablastic myeloma: a case report. Diagn Cytopathol. 2009;37:205–207
  13. Giuliani N, Caramatti C, Roti G, et al. Hematologic malignancies with extramedullary spread of disease. Case 1. Multiple myeloma with extramedullary involvement of the pleura and testes. J Clin Oncol. 2003;21:1887–1888
  14. Kim YJ, Kim SJ, Min K, et al. Multiple myeloma with myelomatous pleural effusion: a case report and review of the literature. Acta Haematol. 2008;120:108–111
  15. Rodriguez JN, Pereira A, Martinez JC, Conde J, Pujol E. Pleural effusion in multiple myeloma. Chest. 1994;105:622–624
  16. Shoenfeld Y, Pick AI, Weinberger A, Ben-Bassat M, Pinkhas J. Pleural effusion—presenting sign in multiple myeloma. Respiration. 1978;36:160–164
  17. Vassou A, Alymara V, Agelis E, Stefanaki S, Bourantas KL. Multifocal extramedullary plasmacytoma with paraproteinemia, pleural involvement and retroperitoneal lymphadenopathy: an uncommon pattern of relapse of solitary osseous plasmacytoma. Ann Hematol. 2006;85:335–336
  18. Sasser RL, Yam LT, Li CY. Myeloma with involvement of the serous cavities. Cytologic and immunochemical diagnosis and literature review. Acta Cytol. 1990;34:479–485
  19. Khalidi HS, Medeiros LJ, Battifora H. Lymphohistiocytoid mesothelioma. An often misdiagnosed variant of sarcomatoid malignant mesothelioma. Am J Clin Pathol. 2000;113:649–654
  20. Simonsen J. Pseudomesotheliomatous carcinoma of the lung with asbestos exposure. Am J Forensic Med Pathol. 1986;7:49–51
  21. Carbone A, Cesarman E, Spina M, Gloghini A, Schulz TF. HIV-associated lymphomas and gamma-herpesviruses. Blood. 2009;113:1213–1224
  22. Mohanty PP, Pasricha R, Gupta A, Jain M, Datta NR. Malignant melanoma of pleura in a patient with giant congenital “bathing suit” hairy nevus. Int J Clin Oncol. 2004;9:410–412
  23. Smith S, Opipari MI. Primary pleural melanoma. A first reported case and literature reivew. J Thorac Cardiovasc Surg. 1978;75:827–831

PII: S1092-9134(09)00138-5

doi: 10.1016/j.anndiagpath.2009.10.005

Annals of Diagnostic Pathology
Volume 14, Issue 1 , Pages 30-35 , February 2010