Two patients with multiple myeloma and in vivo macroscopic nodular lesions of the liver are presented. The clinical aspects of this very unusual condition are briefly reviewed. In particular, the expression on neoplastic plasma cells of the cytoadhesion molecules CD56 and CD11a, which are involved in the cellular process of recirculation and homing, suggests a possible role for such markers in this atypical localization of the disease.
Get full access to this article
View all access options for this article.
References
1.
ArnaoutM.A.: Structure and function of the leucocyte adhesion molecules CD11/CD18.Blood, 75: 1037–1050, 1990.
2.
AscariE., MerliniG., RiccardiA.: Il mieloma multiplo. La clinica del mieloma multiplo. Proceedings of the XXXVII Congresso Nazionale della Società Italiana di Medicina Interna, Roma, 321–394, 1989.
3.
AshmannE.J.M., LokhorstH.M., DekkerA.W., BloemA.C.: Lymphocyte function-associated antigen expression on plasma cells correlates with tumor growth in multiple myeloma.Blood, 79: 2068–2075, 1992.
4.
ChurgJ., GordanA.J.: Multiple myeloma: lesions of the extraosseous hemopoietic systems.Am. J. Clin. Pathol., 20: 934–945, 1950.
5.
DejanaE., LauriD.: Biochemical and functional characteristics of integrins: a new family of adhesive receptors present in hemopoietic cells.Haematologica, 75: 1–6, 1990.
6.
DurantJ.R., BarryW.E., LearnerN.: The changing face of myeloma.Lancet, 1: 119–121, 1966.
7.
GarfinkelD., SalamonF., SidyI., Ben-BassatM., LubinE., PinkhasJ.: Multiple plasmacytomas of the liver and the spleen.Clin. Nucl. Med., 10: 819, 1985.
8.
HamiltonM.S., BallJ., BromidgeE., FranklinJ.M.: Surface antigen expression of human neoplastic plasma cells includes molecules associated with lymphocyte recirculation and adhesion.Br. J. Haematol., 78: 60–65, 1991.
InghiramiG., WieczorekR., ZhuB.Y., SilberR., Dalla-FaveraR., KnowlesD.: Differential expression of LFA-1 molecules in non-Hodgkin's lymphoma and lymphoid leukemia.Blood, 72: 1431–1434, 1988.
11.
JalkanenS., JoensuuH., KlemiP.: Prognostic value of lymphocyte homing receptor and S phase fraction in non-Hodgkin's lymphoma.Blood, 75: 1549–1556, 1990.
12.
KapadiaS.B.: Multiple myeloma: a clinicopathologic study of 62 consecutively autopsied cases.Medicine, 59: 380–392, 1980.
13.
KawanoM., SakaiA., TanakaH.: The role of ICAM-1 and LFA-1 molecules expressed on human myeloma cells.Blood,76 (Suppl. 1): 356a, 1990.
MarshW.C., GrossU.M.: Frequency and pathomorphology of extramedullary manifestations in plasma cell myeloma of the skeleton.Pathol. Res. Pract., 163: 115–127, 1978.
17.
MustoP., BavaroP., CascavillaN., MelilloL., NobileM.: Tecniche immunoenzimatiche di caratterizzazione cellulare: particolari possibilità applicative nella citologia oncoematologica.Medicina, 7: 38–42, 1987.
18.
PalsS.T., HorstE., OssekopelleG.J., FictorC.G., ScheperR.J., MeijerC.J.L.M.: Expression of lymphocyte homing-receptors as a mechanism of dissemination in non-Hodgkin's lymphoma.Blood, 75: 885–890, 1990.
19.
PasmantierM.W., AzarH.A.: Extraskeletal spread in multiple plasma cell myeloma: a review of 57 autopsied cases.Cancer, 23: 167–174, 1969.
20.
Perez-SolerR., EstebanR., AllendeE., SalomoT., JuliaA., GuardiaJ.: Liver involvement in multiple myeloma.Am. J. Hematol., 20: 25–29, 1985.
21.
PilarskiL.M., JensenG.S., MantM.J., BelchA.R.: Abnormal monoclonal B-lineage cells in blood may comprise the malignant stem cell in myeloma: expression of beta 1 and beta 2 integrins (abstract). Paper presented at the 3rd International Workshop on Multiple Myeloma, Torino, 58–60, 1991.
22.
SpringerT.A.: Adhesion receptors of the immune system.Nature, 364: 425–432, 1990.
23.
ThiruvengadamR., PenetranteR.B., GoolsbyH.J., SilkY.N., BernsteinZ.P.: Multiple myeloma presenting as space-occupying lesions of the liver.Cancer, 65: 2784–2786, 1990.
Van CampB., DurieB.G.M., SpierC., De WaeleM., Van RietI., VelaE., FrutigerY., RichterL., GroganT.M.: Plasma cells in multiple myeloma express a natural killer cell-associated antigen: CD56 (NKH-1; Leu19).Blood, 76: 377–382, 1990.
26.
Van CampB., Van RietJ., LacorP., FlamentJ., JochmansK., RemelsL.: The expression of CD56 (N-CAM/Leu19) in multiple myeloma and its relation to other cytoadhesion molecules (abstract). Paper presented at the 3rd International Workshop on Multiple Myeloma, Torino, 73–74, 1991.
27.
VoetD., HamersJ., DendoovenM.: Non-excretory myeloma presenting as a liver nodule on ultrasound.Acta Clin. Belg., 38: 384–387, 1983.