1. Lymphoplasmacytic lymphoma or multiple myeloma: immunoglobulins may lead to misdiagnosis
- Author
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Johann Rose, Sabine Defasque, Jonathan Farhi, Anne Besançon-Bergelin, Vincent Cussac, Jérôme Debus, Fabienne Pineau-Vincent, Pierre Lemaire, Habib Ghnaya, Nathalie Denizon, Kamel Laribi, and Mustafa Alani
- Subjects
Paraproteinemia ,Pathology ,medicine.medical_specialty ,Paraproteinemias ,Immunoglobulins ,Plasma cell ,Malignancy ,Immunophenotyping ,Lymphoplasmacytic Lymphoma ,Diagnosis, Differential ,medicine ,Humans ,Diagnostic Errors ,Multiple myeloma ,business.industry ,Waldenstrom macroglobulinemia ,General Medicine ,Middle Aged ,medicine.disease ,medicine.anatomical_structure ,Female ,Waldenstrom Macroglobulinemia ,Differential diagnosis ,Multiple Myeloma ,business - Abstract
We report here a case of lymphoplasmacytic lymphoma with IgA paraproteinemia and a case of concomitant Waldenström macroglobulinemia and monoclonal gammapathy of unknown significance. These rare cases show that the isotype of a monoclonal immunoglobulin does not allow to foresee every time the underlying pathology. Clinical data and medical imaging are essential. From a biological point of view, additional analysis such as immunophenotyping, cytogenetics and molecular biology are required in addition to the cytological features in order to make an accurate differential diagnosis between lymphoid and plasma cell malignancy.
- Published
- 2018