Multiple myeloma involving the lacrimal gland

The third case of myeloma presenting as a lacrimal gland tumor is reported. The lesion was originally diagnosed as a solitary extramedullary myeloma, but on follow-up, the patient was seen to develop other myelomas. This case illustrates the necessity for careful follow-up of patients with solitary myelomas, even in the absence of bone marrow pathology, for the solitary extramedullary myeloma may represent an early stage in the development of multiple myeloma.