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Related Experiment Videos

Multiple myeloma associated with multilobated plasma cell nuclei.

D H Buss1, G D Reynolds, M R Cooper

  • 1Department of Pathology, Wake Forest University, Bowman Gray School of Medicine, Winston-Salem, NC 27103.

Virchows Archiv. B, Cell Pathology Including Molecular Pathology
|January 1, 1988
PubMed
Summary

This study reports on 10 multiple myeloma cases with unusual plasma cell nuclear morphology. These findings highlight diagnostic challenges and the need for advanced techniques to confirm B-cell lineage.

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Area of Science:

  • Hematology
  • Oncology
  • Cell Biology

Background:

  • Multiple myeloma is a malignancy of plasma cells.
  • Nuclear morphology is a key diagnostic feature.
  • Atypical nuclear features can complicate diagnosis.

Purpose of the Study:

  • To describe 10 cases of multiple myeloma with excessively convoluted or lobulated plasma cell nuclei.
  • To evaluate the diagnostic implications of this nuclear morphology.
  • To discuss the utility of advanced techniques for confirming cell lineage.

Main Methods:

  • Retrospective review of 297 multiple myeloma cases over 22 years.
  • Morphological analysis of plasma cells.
  • Ultrastructural examination of 2 cases.

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  • Immunoperoxidase staining and electron microscopy were considered for diagnosis.
  • Main Results:

    • Ten cases (3%) exhibited plasma cells with markedly convoluted/lobulated nuclei.
    • All 10 patients had advanced stage disease and a mean survival of 19.5 months.
    • These cells can mimic other cell types, posing diagnostic challenges.

    Conclusions:

    • Excessive nuclear convolution in plasma cells can be a feature of multiple myeloma.
    • Diagnostic confirmation may require immunoperoxidase staining or electron microscopy.
    • Nuclear convolution alone is not a reliable indicator of T-cell versus B-cell lineage.