Rare Pedal Manifestation of Diffuse Multiple Myeloma Lesions

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Presentation transcript:

Rare Pedal Manifestation of Diffuse Multiple Myeloma Lesions Benjamin M. Saviet, DPM, MS, John T. Marcoux, DPM, FACFAS, Uma Narayanasami, MD The Journal of Foot and Ankle Surgery Volume 56, Issue 2, Pages 357-361 (March 2017) DOI: 10.1053/j.jfas.2016.11.020 Copyright © 2016 American College of Foot and Ankle Surgeons Terms and Conditions

Fig. 1 Plain film radiographs of the right foot, July 2014. (A) Anteroposterior projection. (B) Lateral oblique projection showing early changes at the base of the third metatarsal. The Journal of Foot and Ankle Surgery 2017 56, 357-361DOI: (10.1053/j.jfas.2016.11.020) Copyright © 2016 American College of Foot and Ankle Surgeons Terms and Conditions

Fig. 2 Hematologic examination of liver biopsy, November 2014. (A) Core biopsies of liver tissue and tumor (original magnification × 10; hematoxylin and eosin stain). (B) Tumor composed of plasmacytoid cells with moderate pleomorphism (original magnification × 40; hematoxylin and eosin stain). (C) Monotypic cytoplasmic immunohistochemical staining for kappa light chain (original magnification × 40). (D) Negative immunohistochemical staining for lambda light chain (original magnification × 40). The Journal of Foot and Ankle Surgery 2017 56, 357-361DOI: (10.1053/j.jfas.2016.11.020) Copyright © 2016 American College of Foot and Ankle Surgeons Terms and Conditions

Fig. 3 Plain film radiographs of the right foot, March 2015. (A) Anteroposterior projection showing diffuse myelomatous changes in the third metatarsal and second digit and a pathologic fracture in the second digit proximal phalanx. (B) Lateral oblique projection with demonstration of pathologic fracture at the third metatarsal neck. The Journal of Foot and Ankle Surgery 2017 56, 357-361DOI: (10.1053/j.jfas.2016.11.020) Copyright © 2016 American College of Foot and Ankle Surgeons Terms and Conditions