Unusual extramedullary manifestation in multiple myeloma: bilateral synchronous testicular infiltration

A 73-year-old man with multiple myeloma (initial diagnosis 21 months earlier) was referred to our center for a whole-body 18F-FDG PET/CT. We detected a bilateral synchronous testicular manifestation, which was confirmed by histopathology after orchiectomy. Besides hypermetabolic lesions in the spine...

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Main Authors: Strauss, Dimitrios (Author) , Sachpekidis, Christos (Author) , Dapunt, Ulrike A. (Author) , Goldschmidt, Hartmut (Author) , Dimitrakopoulou-Strauss, Antonia (Author)
Format: Article (Journal)
Language:English
Published: February 2023
In: Clinical nuclear medicine
Year: 2023, Volume: 48, Issue: 2, Pages: e76-e77
ISSN:1536-0229
DOI:10.1097/RLU.0000000000004496
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1097/RLU.0000000000004496
Verlag, lizenzpflichtig, Volltext: https://journals.lww.com/nuclearmed/Abstract/2023/02000/Unusual_Extramedullary_Manifestation_in_Multiple.32.aspx
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Author Notes:Dimitrios Strauss, Christos Sachpekidis, Ulrike Dapunt, Hartmut Goldschmidt, Antonia Dimitrakopoulou-Strauss
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Summary:A 73-year-old man with multiple myeloma (initial diagnosis 21 months earlier) was referred to our center for a whole-body 18F-FDG PET/CT. We detected a bilateral synchronous testicular manifestation, which was confirmed by histopathology after orchiectomy. Besides hypermetabolic lesions in the spine and ribs (most likely old fractures), known osteolysis showed no uptake. Extramedullary manifestation occurs in 13% to 20% of cases, among these 4% demonstrate testicular manifestation, which is associated with poor survival rates. Optimal therapy management is still unclear, due to limited data. To the authors’ knowledge, so far only 3 comparable cases have been described.
Item Description:Gesehen am 15.03.2023
Physical Description:Online Resource
ISSN:1536-0229
DOI:10.1097/RLU.0000000000004496