Plasma cell rich effusions and its concurrence with plasma cell neoplasms- A case series

• Author Details:   
• Kirthi Nath K V
• Soumya Satheesh
• Aardra Rageesh ^*

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Plasma cell neoplasms are clonal hematologic malignancies that represent 10% of all hematologic neoplasms. Incidence increases with advancing age and early diagnosis is rewarding due to great treatment amenability. Diagnosis of this malignancy requires a combination of clinical, biochemical, immunoelectrophoretic and bone marrow findings each with its due. Plasma cell rich effusions that do not form a part of diagnostic algorithm was identified as an incidental finding in 1 case of suspected plasma cell neoplasm and another confirmed case of plasma cell leukemia at our center is being described in this article. The value of plasma cell rich effusion as an associated finding in aggressive cases of plasma cell myeloma is being described here in correlation with the available literature. Immunocytochemical workup for kappa and lambda light chains could not identify e restriction and proved inconclusive in both the cases. The article aims to add to the existing literature on the same topic.