Relapse of Multiple Myeloma Presenting as Lower Lip Numbness
Journal Title: Sultan Qaboos University Medical Journal - Year 2016, Vol 16, Issue 4
Abstract
Multiple myeloma (MM) is an uncommon malignancy characterised by the proliferation of clonal plasma cells. Tere are few published reports describing the extramedullary presentation of MM manifesting primarily in the head and neck region. In addition, the occurrence of an isolated relapse of MM in these sites is exceedingly rare. We report a 56-year-old female who presented to the Sultan Qaboos University Hospital, Muscat, Oman, in 2010 with sudden-onset numbness of the lower lip. She had a history of MM in remission following chemotherapy and a bone marrow transplant. Clinical and radiographic examinations were indicative of a possible relapse of MM, which was subsequently confrmed by bone marrow aspiration and histopathological evaluation. Tis unique case highlights the unusual site of relapse of a haematolymphoid malignancy.
Authors and Affiliations
Yusra M. Al-Riyami| Oral & Maxillofacial Surgery Residency Program, Oman Medical Specialty Board, Muscat, Oman, Abdulaziz Bakathir| Departments of Oral Health, Sultan Qaboos University Hospital, Muscat, Oman, Khalil Al-Farsi| Departments of Haematology, Sultan Qaboos University Hospital, Muscat, Oman, Faisal Al-Azri| Departments of Radiology & Molecular Imaging, Sultan Qaboos University Hospital, Muscat, Oman
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