Diffusion weighted magnetic resonance imaging demonstrates tumor response following palliative embolization of a recurrent shoulder plasmacytoma

Viktor Bérczi, Gábor Rudas, Lajos R udolf Kozák, Tamás Györke, Gábor Mikala, Tamás Masszi, Ildikó Kalina, Pál Novák Kaposi

Research output: Article

Abstract

We report the palliative embolization and functional imaging follow-up of a recurrent shoulder plasmacytoma. The multiple myeloma patient complained of severe pain and discomfort, while he could not tolerate further chemotherapy. The left shoulder lesion had earlier received a high dose of irradiation. Thus, the well-vascularized lesion was embolized via feeding arteries branching off from the left subclavian artery in two sessions. The patient's symptoms rapidly improved post-embolization and the serum free light chain ratio stabilized at a lower level. The follow-up magnetic resonance image showed increased diffusivity in previously restricted tumor foci. This has negatively correlated with the decreased fludeoxyglucose uptake on PET, suggesting post-embolization necrosis.

Original languageEnglish
Pages (from-to)271
Number of pages1
JournalWorld Journal of Surgical Oncology
Volume12
DOIs
Publication statusPublished - 2014

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ASJC Scopus subject areas

  • Medicine(all)

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