Plasma cell myeloma in patients who are HIV-positive

S. Kumar, D. Kumar, V. J. Schnadig, P. Selvanayagam, D. P. Slaughter

Research output: Contribution to journalArticle

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Abstract

This report describes the occurrence of plasma cell neoplasia in three young HIV-positive males. Two patients presented with massive ascites. On cytologic examination of the fluid, many immature plasma cells were noted. Genotyping of fluid demonstrated clonal rearrangement of immunoglobulin heavy and kappa light chain genes in both cases. Postmortem examination on one of these revealed neoplastic plasmacellular infiltrate in various organs, including the bone marrow. The third case presented with a hemorrhagic, rapidly enlarging gingival mass with a histologic appearance of an undifferentiated neoplasm. Immunoperoxidase studies revealed positive staining only for epithelial membrane antigen. On flow cytometry, the neoplastic cells did not mark with leukocyte common antigen or any of the B- or T-cell markers. Cytoplasmic kappa light chain restriction, as well as genotypic studies, confirmed the diagnosis of anaplastic plasmacytoma. In two cases a clonal population was detected using a probe to the terminal repeat region of the Epstein-Barr virus. These results suggest that plasma cell malignancy is another AIDS-associated neoplasm. Its occurrence in this group of patients is not only coincidental.

Original languageEnglish (US)
Pages (from-to)633-639
Number of pages7
JournalAmerican Journal of Clinical Pathology
Volume102
Issue number5
StatePublished - 1994
Externally publishedYes

Fingerprint

Multiple Myeloma
Plasma Cells
HIV
Neoplasms
Immunoglobulin kappa-Chains
CD45 Antigens
Mucin-1
Terminal Repeat Sequences
Human Herpesvirus 4
Ascites
Autopsy
Flow Cytometry
Acquired Immunodeficiency Syndrome
Bone Marrow
Staining and Labeling
T-Lymphocytes
Light
Population
Genes

Keywords

  • AIDS
  • Epstein-Barr virus
  • Genotyping
  • Immunophenotyping
  • Plasma cell neoplasia

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

Cite this

Kumar, S., Kumar, D., Schnadig, V. J., Selvanayagam, P., & Slaughter, D. P. (1994). Plasma cell myeloma in patients who are HIV-positive. American Journal of Clinical Pathology, 102(5), 633-639.

Plasma cell myeloma in patients who are HIV-positive. / Kumar, S.; Kumar, D.; Schnadig, V. J.; Selvanayagam, P.; Slaughter, D. P.

In: American Journal of Clinical Pathology, Vol. 102, No. 5, 1994, p. 633-639.

Research output: Contribution to journalArticle

Kumar, S, Kumar, D, Schnadig, VJ, Selvanayagam, P & Slaughter, DP 1994, 'Plasma cell myeloma in patients who are HIV-positive', American Journal of Clinical Pathology, vol. 102, no. 5, pp. 633-639.
Kumar S, Kumar D, Schnadig VJ, Selvanayagam P, Slaughter DP. Plasma cell myeloma in patients who are HIV-positive. American Journal of Clinical Pathology. 1994;102(5):633-639.
Kumar, S. ; Kumar, D. ; Schnadig, V. J. ; Selvanayagam, P. ; Slaughter, D. P. / Plasma cell myeloma in patients who are HIV-positive. In: American Journal of Clinical Pathology. 1994 ; Vol. 102, No. 5. pp. 633-639.
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