“…A variety of other sites can rarely be involved, including testis, bladder, urethra, breast, ovary, lung, pleura, thyroid, orbit, brain, skin, adrenal glands, retroperitoneum, central nervous system, spleen and the lymph nodes (Cavanna et al, 1990;Rubin et al, 1990;Matsumiyama et al, 1992;Nonamura et al, 1992;Wong et al, 1994;Adkins et al, 1996;Fischer et al, 1996;Tuting & Bork, 1996 A monoclonal paraprotein is detected in the serum and/or urine in fewer than 25% of patients (Table 1). Local recurrence rates of <5% have been quoted after radiotherapy .…”