PLASMA-CELL MYELOMATOSIS: Report of a Case with Multiple Large Tumors Involving the Digits of Both Hands

THE INFREQUENT occurrence of involvement of the small bones of the hands and feet in multiple myeloma has often been referred to or implied in the description of skeletal involvement in this disease.* Lichtenstein and Jaffe ³ indicated that occasionally a bone of the foot or hand may be the site of the presenting lesion. Meyerding ⁴ in 1925 presented a case with diffuse involvement in the bones of the hands, as shown by roentgenograms.

This case is presented because of the occurrence of multiple large tumors involving the digits of the hands, which represented the initial symptoms of the disease, and which led to its diagnosis by way of aspiration biopsy.

REPORT OF CASE  A 57-year-old white man, a streetcar motorman, was admitted to the hospital on June 18, 1953, with the complaint of painful swelling of the distal portion of the middle finger, right hand, of six weeks'