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Mol Clin Oncol. 2021 Oct;15(4):198. doi: 10.3892/mco.2021.2360. Epub 2021 Aug 04.

IgD multiple myeloma with central nervous system involvement: A case report and literature review.

Molecular and clinical oncology

Yi Chen, Yanyan Qiu, Haiying Fu, Jing Li, Lushan Chen, Siqin Liao, Tingbo Liu

Affiliations

  1. Fujian Provincial Key Laboratory on Haematology, Fujian Medical University Union Hospital, Fujian Institute of Haematology, Fuzhou, Fujian 350001, P.R. China.

PMID: 34462654 PMCID: PMC8375031 DOI: 10.3892/mco.2021.2360

Abstract

Central nervous system (CNS) involvement is a rare manifestation of multiple myeloma (MM) and the optimal management strategies have yet to be determined. The aim of the present study was to describe the case of a 47-year-old male patient with immunoglobulin D-λ MM who presented with multiple extramedullary infiltrations at diagnosis. This patient achieved stringent complete response after 9 cycles of treatment with bortezomib, lenalidomide and dexamethasone, and then received lenalidomide as maintenance therapy. CNS involvement and extramedullary relapse developed 3 months after the last chemotherapy cycle. Despite receiving a second-line treatment protocol, the patient succumbed to the disease within 1 month after recurrence. The characteristics and treatment options for CNS MM are discussed in this case report.

Copyright: © Chen et al.

Keywords: central nervous system; extramedullary; involvement; multiple myeloma

Conflict of interest statement

The authors declare that they have no competing interests.

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