Myeloma with manifestation of digestive tract and complications. Case-report

A 54 years old man with growing subcutaneous abnormality above his shoulder-blade was admitted in our hospital. CT-scan showed destruction of the right scapula and ribs by the tumour and it was spreading to the spinal channel. The thickness of the colon wall at hepatic flexure was also described. Histological examination of colon and subcutaneous abnormality referred to plasmocytoma. Cytostatic therapy and irradiation of the affected chest-wall was introduced. After first cycle of chemotherapy, melena developed, so we produced urgent upper endoscopy. Endoscopic examination showed tumorous infiltration of the duo…