CT and MRI manifestations of primary pulmonary plasmacytoma

Primary pulmonary plasmacytoma: a case report

“…In a quarter of patients is fortuitous discovery on a routine chest X-ray may show an isolated parenchymal nodule or perihilar mass associated with any mediastinal lymphadenopathy, these images are better characterized on CT and IRM to specify the exact place of the tumor mass, degree of extension, the state of the underlying lung parenchyma and guide the percutaneous biopsy, but are usually unspecific. 1,3 The diagnosis is based on two elements, firstly a negative complete search of myeloma, secondly, on histological examination of the surgical specimen (the case of our patient), transparietal biopsy, more rarely on the cytology of bronchoalveolar lavage or trans-bronchial biopsies. 1 Histological study will objectify webs of tumor plasma cells morphologically variable from the mature form to the atypical immature form.…”

Solitary plasmacytoma of the lung with light chain extracellular deposits: a case report and review of the literature

“…The diagnosis of primary pulmonary plasmacytoma is difficult. The findings on computed tomography and magnetic resonance imaging are non-specific 9 . A histological diagnosis is necessary but material obtained by needle aspiration or bronchofibreoptic biopsy is usually insufficient to make a definitive diagnosis.…”