Multiple myeloma with cutaneous and testicular metastases after autologous bone marrow transplant

Abstract

A 56-year-old male patient with multiple myeloma (MM) with ptlasmocytomas is reported, with subcutaneous and testicle plasmocytomas. He was treated with chemotherapy and autologous bone marrow transplantation and. After four years of remission, he developed bone relapse. He was treated with chemotherapy and immunotherapy. He evolved without satisfactory response to the early cycles of treatment with progression of bone disease and the emergence of nodules in the back, fist and testicle suspected of relapse of the disease. The resection of the lesions and the anatomopathological and immunohistochemical studies confirmed that it was MM metastasis. Treatment continued until the proposed 12 cycles were completed but there was no improvement in lesions, and, in addition to the emergence of new lesions in the subcutaneous and perianal region, with clinical worsening. The patient died after two months of palliative care.