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Orbital Involvement in Multiple Myeloma: A Case Report

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DOI: 10.4236/jct.2012.36136    3,722 Downloads   5,420 Views   Citations


Purpose: To report a retro-orbital localization of Multiple Myeloma (MM) describing its treatment and clinical result. Case report: A 50-years-old male patient with Magnetic Resonance Imaging (MRI) evidence of a retro-orbital mass with exophthalmos, due to the pathological diagnosis of MM, was referred for Radiation Therapy (RT). Discussion: The orbital involvement in Multiple Myeloma is rare and few cases are reported in the literature. The treatment of choice is RT alone with a prescribed dose ranging between 40 Gy and 45 Gy. In our patient the retro-orbital lesion, measuring 26 × 16 mm, was treated with Intensity Modulated Radiotherapy Technique (IMRT) delivering 4400 cGy with conventional fractionation. The treatment was well tolerated, the patient experienced a complete regression of the exophthalmos without any significant side effect.

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The authors declare no conflicts of interest.

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S. Terenzi, D. Cristino, A. Murgia, D. Janniello, E. Ponti, B. Tolu, S. Cicchetti and R. Santoni, "Orbital Involvement in Multiple Myeloma: A Case Report," Journal of Cancer Therapy, Vol. 3 No. 6, 2012, pp. 1052-1054. doi: 10.4236/jct.2012.36136.


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