case_images: PMC4314143_01
case_images: PMC4314143_02
case_images: Chest x ray revealed a right opacity homogenous well limited
case_images: PAMJ-19-39-g001.jpg
case_images: PMC4314143_02_PAMJ-19-39-g001.jpg
case_images: F0001
case_images: The chest x ray revealed the presence of a right pulmonary opacity (Figure 1) and chest computed tomography a large parietal mass of the 4th costal arch of 95 X 45 mm with lysed appearence of the manubrium and sternal body, and a pathological fracture of the 5th right rib. (Figure 2) A transmural ultrasound biopsy of the mass allowed the detection of a malignant undifferentiated tumour growth with a strong positivity of CD138 and anti Kappa antibodies.
case_images: Chest computed tomography revealed right mass with lysed costal lesion
case_images: PAMJ-19-39-g002.jpg
case_images: PMC4314143_02_PAMJ-19-39-g002.jpg
case_images: F0002
case_images: The chest x ray revealed the presence of a right pulmonary opacity (Figure 1) and chest computed tomography a large parietal mass of the 4th costal arch of 95 X 45 mm with lysed appearence of the manubrium and sternal body, and a pathological fracture of the 5th right rib. (Figure 2) A transmural ultrasound biopsy of the mass allowed the detection of a malignant undifferentiated tumour growth with a strong positivity of CD138 and anti Kappa antibodies.
case_images: Protein electrophoresis showed a Gamma-globulin peak
case_images: PAMJ-19-39-g003.jpg
case_images: PMC4314143_02_PAMJ-19-39-g003.jpg
case_images: F0003
case_images: Electrophoresis of blood and urine proteins showed respectively the presence of a monoclonal peak of gamma globulin 79.5 g/L (Figure 3) and Bence Jones protein free Kappa.