Journal of Cytology
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Year : 2005  |  Volume : 22  |  Issue : 3  |  Page : 135-136

Myelomatous pleural effusion

1 Junior Resident, Department of pathology, GSVM Medical College, Kanpur, India
2 Associate Professor, Department of pathology, GSVM Medical College, Kanpur, India
3 Professor and Head, Department of pathology, GSVM Medical College, Kanpur, India

Correspondence Address:
G Sharma
Dept of Pathology, GSVM Medical College, Kanpur, UP
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Source of Support: None, Conflict of Interest: None

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This report is based on cytologic analysis of pleural fluid of a 52 year old man who came to hospital with non specific complaints of weakness, lethargy and pleuritic chest pain on the right side. X-ray chest showed right sided pleural effusion. Montoux test was negative and so were the three consecutive sputum samples for AFB. Thoracocentesis was done, which showed blood-tinged fluid with elevated protein. Cytology showed abnormal plasma cells with multinucleated forms. Pleural biopsy was negative. Further examination revealed one very small supra-clavicular lymph node less than 0.5 cm in size. Biopsy of this lymph node was done and it showed abnormal plasmacytoid cells and the diagnosis of plasmacytoma was confirmed.

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