PLASMA CELL MYELOMA OF THE PHARYNX AND CERVICAL REGION WITHOUT SKELETAL INVOLVEMENT

Abstract

Multiple myeloma essentially represents a malignant neoplastic disease of the bone marrow which rarely, if ever, metastasizes. We are reporting a case of plasma cell myeloma of the pharynx and cervical region without apparent skeletal involvement. REPORT OF CASE A man, aged 60, came to the clinic on April 30, 1930. He had first noticed a swelling in his throat and in the right side of his neck two or three months previously. There was slight difficulty in swallowing and breathing but no pain. General examination gave essentially negative results, except for obesity, chronic myocardial degeneration and a moderate degree of hypertension. Examination of the throat revealed an ulcerated, polypoid mass about 3 by 2.5 cm. in the right side of the pharynx which apparently originated in the tonsil. There was also a mass in the right upper cervical region 4 cm. in diameter. Roentgenograms of the