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Jennifer Rubin, MD; Jonas T. Johnson, MD; Roberta Killeen, PhD; Leon Barnes, MD

Arch Otolaryngol Head Neck Surg. 1990;116(7):855-859.

Abstract
• Extramedullary plasmacytoma is a malignant plasma cell dyscrasia that is most commonly found in the head and neck. Progression to disseminated disease in the form of multiple myeloma occurs in 17% to 32% of cases. Herein, we describe a patient with extramedullary plasmacytoma of the thyroid gland in whom a serum monoclonal gammopathy resolved with surgery and irradiation of the primary. Although rare, this diagnosis should be considered in patients presenting with obstructive thyromegaly and autoimmune thyroiditis.

(Arch Otolaryngol Head Neck Surg. 1990;116:855-859)

Author Affiliations
From the Department of Otolaryngology (Drs Rubin and Johnson) and Pathology (Drs Killeen and Barnes), University of Pittsburgh School of Medicine and the Eye and Ear Hospital of Pittsburgh (Pa).

Footnotes
Accepted for publication January 29, 1990.

Reprint requests to Department of Otolaryngology, Eye and Ear Hospital, Suite 500, 203 Lothrop St, Pittsburgh, PA 15213 (Dr Johnson).

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