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Case Reports
. 2019 May-Jun:40:41-46.
doi: 10.1016/j.carpath.2019.02.002. Epub 2019 Feb 10.

A plasma cell-based pericardial effusion leading to tamponade in a patient with multiple myeloma - a case report and review of the literature

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Case Reports

A plasma cell-based pericardial effusion leading to tamponade in a patient with multiple myeloma - a case report and review of the literature

Travis M Skipina et al. Cardiovasc Pathol. 2019 May-Jun.

Abstract

A rare case of extramedullary multiple myeloma causing cardiac tamponade secondary to a plasma cell-based pericardial effusion is described. A systematic search using PubMed (National Library of Medicine) was used to identify a further 27 cases dating back to 1970. Case characteristics, treatment strategies, and survival time following tamponade are discussed. Linear regression demonstrated a weak but statistically significant correlation between survival time following tamponade and treatment with systemic chemotherapy and steroids (β=16.8 weeks, P=.009). However, this manifestation of extramedullary multiple myeloma still conveys a dismal prognosis with a median survival following tamponade of only 6 weeks based on our review.

Keywords: Cardiac tamponade; Multiple myeloma; Pericardial effusion; Plasma cell; Plasmacytoma.

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