Solitary extramedullary plasmocytoma of the thyroid: a case report and histological approach to plasma cells infiltrate in the thyroid gland. Issue 2 (April 2015)

• Record Type: Journal Article
• Authors: Wilmars, M. Mertens de; Knoops, L.; Sempoux, C.; Galant, C.; Geets, X.; Poirel, H. A.; Ameye, G.; Camboni, A.
• Is Part Of: Acta clinica belgica. Volume 70:Issue 2(2015)Supp
• Page Start: 133
• Page End: 137
• Publication Date: 2015-04
• Subjects: Thyroid, -- Plasmocytoma, -- Differential diagnosis, -- Immunohistochemistry; Clinical medicine -- Periodicals; Diagnosis, Laboratory -- Periodicals; 616.005
• DOI: 10.1179/2295333714Y.0000000095
• Languages: English
• ISSNs: 1784-3286

Abstract

Abstract : Background: Solitary extramedullary plasmacytoma (SEP) is a rare malignant neoplasm arising from plasma cells. SEP mostly occurs in the upper respiratory tract. Thyroid gland is rarely affected (<78 cases). Methods/results: We describe the case of a 78-year-old woman presenting a rapidly enlarging palpable thyroid mass. Neck computed tomography scan showed enlargement of both thyroid lobes. Laboratory tests were normal, including serum protein level with no monoclonal gamma globulin peak. Cytology was suspicious for lymphoma. Biopsy showed an infiltrating neoplasm composed of atypical tumor cells with abundant cytoplasm and eccentric nuclei. These revealed diffuse immunoreactivity for CD138 and predominant staining for immunoglobulin kappa light chains. Clinical workup for multiple myeloma was negative. Conclusions: SEP should be considered in the differential diagnosis of a rapidly enlarging thyroid nodule and be distinguished from involvement of thyroid in multiple myeloma, mucosa-associated lymphoid tissue lymphoma, plasma cell granuloma and medullary carcinoma. Clinical correlation and immunohistochemistry are crucial in avoiding pitfalls.