Intriguing Morphology of IgG/Lambda Secreting Myeloma Cells

Sreejesh Sreedharanunni1, Narender Kumar1, Neelam Varma1

  • 1Department of Hematology, Postgraduate Institute of Medical Education and Research, 5th Floor, Research Block A, Chandigarh, 160012 India.

Myeloma cells are known to show varied morphology and various types of nuclear or cytoplasmic inclusions. There are a few reports of myeloma with presence of pseudo-Gaucher type histiocytes; however myeloma cells itself resembling storage histiocytes is distinctly uncommon. We report images of plasma cells resembling storage cells from a case of IgG/lambda plasma cell myeloma. Hematopathologist must be aware of such varied morphology of plasma cells especially while dealing with extra medullary plasmacytomas.