<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-1351</journal-id>
<journal-title><![CDATA[Acta Radiológica Portuguesa]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Radiol Port]]></abbrev-journal-title>
<issn>2183-1351</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Radiologia e Medicina Nuclear]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-13512022000300020</article-id>
<article-id pub-id-type="doi">10.25748/arp.26954</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Multiple Myeloma Involvement of the Pancreas: A Case Report of Pancreatic Extramedullary Plasmacytomas Causing Obstructive Jaundice]]></article-title>
<article-title xml:lang="pt"><![CDATA[Envolvimento Pancreático por Mieloma Múltiplo: Um Caso Clínico de Icterícia Obstrutiva Causada por Plasmocitomas Extramedulares Pancreáticos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[Tiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendes]]></surname>
<given-names><![CDATA[Vasco Ferrão]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Antunes]]></surname>
<given-names><![CDATA[Célia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[Rui Caetano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Donato]]></surname>
<given-names><![CDATA[Paulo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar e Universitário de Coimbra Serviço de Imagem Médica ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade de Coimbra Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Hospitalar e Universitário de Coimbra Serviço de Anatomia Patológica ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>34</volume>
<numero>3</numero>
<fpage>20</fpage>
<lpage>22</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-13512022000300020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-13512022000300020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-13512022000300020&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Extramedullary plasmacytomas are rare tumors that can occur either as primary lesions or as a manifestation of multiple myeloma. Pancreatic involvement by plasma cell myeloma is very rare, accounting for less than 0.1% of pancreatic masses. Radiological findings are not specific. The most typical finding of pancreatic plasmacytoma on computed tomography has been reported as the presence of a focal multilobulated mass with homogeneous contrast enhancement. This is a case report of a 74-year-old woman with a previous history of stage III multiple myeloma presented to the emergency department with complaints of abdominal discomfort and painless jaundice. An abdominal ultrasound and computed tomography were performed and revealed a large mass in the topography of the pancreatic head. This mass caused dilatation of the intrahepatic bile ducts and the main bile duct. Subsequently, the patient underwent ultrasound-guided core biopsy of the pancreatic lesion, and the histological analysis of the specimen confirmed the diagnosis of pancreatic plasmacytoma. The purpose of this article is to present a very rare case of pancreatic extramedullary plasmacytomas, describe its epidemiology and clinical features, as well as illustrate its imaging findings.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo Os plasmocitomas extramedulares são tumores raros que podem ocorrer como lesões primárias ou como uma manifestação de mieloma múltiplo. O envolvimento pancreático por mieloma de células plasmáticas é muito raro, representando menos de 0,1% das massas pancreáticas. Os achados imagiológicos não são específicos. Na tomografia computadorizada o achado mais típico dos plasmocitomas pancreáticos consiste na presença de uma massa focal multilobulada, com realce homogéneo após administração de contraste iodado endovenoso. Apresenta-se um caso de uma mulher de 74 anos de idade com antecedentes de mieloma múltiplo em estadio III, que recorreu ao serviço de urgência por queixas de desconforto abdominal e icterícia indolor. Foram realizadas ecografia e TC ao abdómen que revelaram uma volumosa massa na topografia da cabeça pancreática que condicionava dilatação das vias biliares intra-hepáticas e da via biliar principal. Posteriormente, a paciente foi submetida a biópsia eco-guiada da lesão pancreática e a análise histológica da amostra enviada confirmou o diagnóstico de plasmocitoma pancreático. O objetivo deste artigo é apresentar um caso muito raro de plasmocitomas extramedulares do pâncreas, descrever a sua epidemiologia e caraterísticas clínicas, bem como ilustrar os seus achados imagiológicos.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Pancreatic extramedullary plasmacytoma]]></kwd>
<kwd lng="en"><![CDATA[Multiple myeloma]]></kwd>
<kwd lng="en"><![CDATA[Pancreas]]></kwd>
<kwd lng="en"><![CDATA[Obstructive jaundice.]]></kwd>
<kwd lng="pt"><![CDATA[Plasmocitoma extramedular pancreático]]></kwd>
<kwd lng="pt"><![CDATA[Mieloma múltiplo]]></kwd>
<kwd lng="pt"><![CDATA[Pâncreas]]></kwd>
<kwd lng="pt"><![CDATA[Icterícia obstrutiva.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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