Case Report
Dysphagia as an Unusual Presentation of Myeloma
Table 1
Extramedullary myeloma: growth and location, adapted from [
9].
| Mechanism | Location |
| Local growth | Soft-tissue masses arising from focal bone involvement (vertebrae, ribs, sternum, and skull) | Hematogenous spread | Single or multiple large subcutaneous tumors Multiple nodules (skin, liver, breast, and kidney) Lymph nodes CNS | Triggered by invasive surgical procedures | Surgical scars (laparotomy and catheter insertions) Bone surgery and/or fractures (extensive local spread) |
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