case_images: PMC2649913_01
case_images: Extramedullary myeloma of the head and face. Note the marked distortion of the nose, lips and left eye. The tumour affects the left maxillary and zygomatic area. There was a midline shift of the nose and the chin.
case_images: 1746-160X-5-4-1.jpg
case_images: PMC2649913_01_1746-160X-5-4-1.jpg
case_images: F1
case_images: A 48 year-old black female presented at the Medunsa Oral Health Center with a large swelling of the left side of her face, and proptosis of her left eye (figure 1).
case_images: Note the exophytic, irregular lesions protruding from the palate and from the left nostril.
case_images: 1746-160X-5-4-2.jpg
case_images: PMC2649913_01_1746-160X-5-4-2.jpg
case_images: F2
case_images: A large portion of this mass was necrotic (figure 2).
case_images: High power photomicrograph of the myelomatous infiltrate. Several plasmablasts with prominent nucleoli are present (H&E stain, x400).
case_images: 1746-160X-5-4-3.jpg
case_images: PMC2649913_01_1746-160X-5-4-3.jpg
case_images: F3
case_images: The densely packed tumour cells were mainly plasmablasts with prominent nucleoli (figure 3).
case_images: Sagittal CT cut showing the extensive destruction of the left maxilla, and the left paranasal tissues. The left orbit is filled with tumorous tissue.
case_images: 1746-160X-5-4-4.jpg
case_images: PMC2649913_01_1746-160X-5-4-4.jpg
case_images: F4
case_images: Axial CT cut demonstrating invasion of the tumour into the left orbit, causing proptosis; and the extension of the tumour to the left ethmoidal sinus and the temporal and infra-temporal fossae.
case_images: 1746-160X-5-4-5.jpg
case_images: PMC2649913_01_1746-160X-5-4-5.jpg
case_images: F5
case_images: The intra-orbital tumour mass caused severe proptosis of the left eye (figure 5).
case_images: Axial CT cut showing the invasion of the floor of the mouth by the tumour.
case_images: 1746-160X-5-4-6.jpg
case_images: PMC2649913_01_1746-160X-5-4-6.jpg
case_images: F6
case_images: The left submandibular space and the floor of the mouth were also affected by the tumour (figure 6).
case_images: Axial CT cut showing the extent of the heterogeneous tumour.
case_images: 1746-160X-5-4-7.jpg
case_images: PMC2649913_01_1746-160X-5-4-7.jpg
case_images: F7
case_images: The mandible appeared normal but had been displaced, without evidence of osteolytic or sclerotic lesions. The tumour mass appeared heterogeneous with hypodense areas of necrosis (figure 7).