case_images: PMC6311888_01
case_images: Sagittal and transversal MRI sections showing a voluminous process of the posterior tongue infiltrating the uvula and tonsils.
case_images: CRIHEM2018-6910624.001.jpg
case_images: PMC6311888_01_CRIHEM2018-6910624.001.jpg
case_images: fig1
case_images: This process infiltrated the uvula and the tonsils (Figure 1).
case_images: Tongue base biopsies showing massive infiltration with plasmacytic differentiation cells, comforted by the positivity of CD138 and lambda chains.
case_images: CRIHEM2018-6910624.002.jpg
case_images: PMC6311888_01_CRIHEM2018-6910624.002.jpg
case_images: fig2
case_images: Immunohistochemistry showed positivity of CD138 and monoclonal expression of Lambda chains (Figure 2).
case_images: Sagittal and transversal MRI sections of the right knee showing plasmacytoma of the lower right femur metaphysis blowing the inner cortical.
case_images: CRIHEM2018-6910624.003.jpg
case_images: PMC6311888_01_CRIHEM2018-6910624.003.jpg
case_images: fig3
case_images: It destroyed the inner cortical and measured 61 x 47 x 47 mm according to major axes (Figure 3).
case_images: Bone marrow smears showing infiltration with dystrophic plasma cells: (a) 40x magnification; (b) 100x magnification.
case_images: CRIHEM2018-6910624.004.jpg
case_images: PMC6311888_01_CRIHEM2018-6910624.004.jpg
case_images: fig4
case_images: Bone marrow aspiration showed 12% dystrophic plasma cell medullary infiltration, with presence of some plasma cells clusters (Figure 4).