2000 Volume 93 Issue 1 Pages 25-30
Incipient symptoms of multiple myeloma usually include such symptons as pain, anemia, malaise, and loss of body weight. A case of multiple myeloma occurring as a buccal mass is reported. The patient was a 65-year-old female. She visited our hospital complaining of a buccal mass with tenderness. A 4×4cm mass was observed the left buccal region. From CT and MRI findings, our preoperative diagnosis was a osteocartilaginous tumor. The buccal tumor with adjacent bone was removed surgically. Post-operative histological examination revealed proliferating plasmacytes in the tumor, and a pathological fracture in the right clavicula two days after the operation. The final diagnosis was multiple myeloma (IgA-κtype).