Extramedullary Cardiac Plasmacytoma

Reade A. Quinton

Research output: Contribution to journalArticle

Abstract

An 86 year old female presented to the emergency department with a one week history of leg swelling and recent weight gain. An echocardiogram revealed an 8.7 x 5 cm mass of the right atrium that appeared to be adherent to the atrial wall and filled over 90% of the volume of the right atrial chamber. The patient expired approximately one month later, and an autopsy limited to the heart and pericardial sac was requested. The autopsy confirmed the presence of a 9 cm mass involving the right atrium and completely encasing the right coronary artery. Microscopically the tumor was composed of sheets of plasma cells. Immunohisto-chemical studies showed that the cells were kappa light chain restricted, strongly positive for LCA and CD79a, and negative for CD138 and CD20. Given the gross and microscopic findings, the lesion was diagnosed as an extramedullary plasmacytoma of the heart.

Original languageEnglish (US)
Pages (from-to)338-341
Number of pages4
JournalAcademic Forensic Pathology
Volume1
Issue number3
DOIs
StatePublished - Nov 1 2011

Fingerprint

Plasmacytoma
Heart Atria
Autopsy
Pericardium
Plasma Cells
Weight Gain
Hospital Emergency Service
Leg
Coronary Vessels
Light
Neoplasms

Keywords

  • Autopsy
  • Cardiovascular diseases
  • Immunohistochemistry

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

Cite this

Extramedullary Cardiac Plasmacytoma. / Quinton, Reade A.

In: Academic Forensic Pathology, Vol. 1, No. 3, 01.11.2011, p. 338-341.

Research output: Contribution to journalArticle

Quinton, Reade A. / Extramedullary Cardiac Plasmacytoma. In: Academic Forensic Pathology. 2011 ; Vol. 1, No. 3. pp. 338-341.
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