Open AccessMultiple Myeloma Presenting as a Parotid Mass
Author(s) -
Benedick B. Borbe,
Samantha S. Castañeda
Publication year - 2018
Publication title -
philippine journal of otolaryngology head and neck surgery (on-line)
Language(s) - English
Resource type - Journals
ISSN - 2094-1501
DOI - 10.32412/pjohns.v33i1.33
Subject(s) - medicine , multiple myeloma , work up , pleomorphic adenoma , plasmacytoma , facial nerve , presentation (obstetrics) , parotid gland , surgery , radiology , salivary gland , pathology
Objective: To present the case of a patient with left facial swelling as the primary manifestation of Multiple Myeloma, and discuss the surgical management, diagnostic dilemma, and subsequent medical management done for this unusual presentation.
Methods:
Design: Case Report
Setting: Tertiary Government Hospital
Patient: One (1)
Results: A 55-year old man with an enlarging left pre-auricular mass of one (1) year duration underwent superficial parotidectomy with facial nerve preservation and selective lymphadenectomy for pleomorphic adenoma based on initial clinical and cytologic findings. Histopathologic examination showed plasmacytoid proliferation, and subsequent work-ups finally revealed Multiple Myeloma.
Conclusion: Emphasized in this case report is the thorough work-up and targeted therapy needed for the timely diagnosis and treatment of a patient with Multiple Myeloma.
Keywords: Multiple myeloma, plasmacytoma, parotid gland, pleomorphic adenoma