Multiple Myeloma: Case of a "Moving" Sternal Wire

Area of Science:

• Hematology
• Oncology
• Diagnostic Imaging

Background:

• Multiple myeloma is a plasma cell malignancy typically affecting older adults.
• Clinical manifestations often include CRAB features: hypercalcemia, renal dysfunction, anemia, and bone destruction.
• Atypical presentations can pose diagnostic challenges.

Purpose of the Study:

• To report a rare case of multiple myeloma presenting as a precordial mass.
• To illustrate the utility of multimodal imaging in diagnosing hematological malignancies.
• To emphasize the importance of early diagnosis and treatment in multiple myeloma.

Main Methods:

• Case report of a 64-year-old male patient.
• Clinical presentation, laboratory investigations, and multimodal imaging (including radio-pathological features).
• Percutaneous biopsy for histopathological confirmation.

Main Results:

• Diagnosis of multiple myeloma confirmed via biopsy.
• Patient presented with an enlarging precordial lump, anemia, and impaired renal function.
• Lesions showed prompt resolution following treatment initiation.

Conclusions:

• Multiple myeloma can present with extranodal masses, such as a precordial lump.
• Multimodal imaging is crucial for characterizing lesions in suspected hematological malignancies.
• Timely diagnosis and treatment are vital for favorable outcomes in multiple myeloma.