Multiple Myeloma Presenting as a Left Clavicular Swelling – A Case Report

Abstract

Clavicular swellings constitute an important underdiagnosed entity in clinics. The reason for this includes mild nature of symptoms and thus less emphasis given to them by the patient as well as treating physician. It is important to do thorough examination and early investigations as this may point towards the diagnosis of a specific inflammatory, infectious, or neoplastic disorder. Moreover, in countries with a very high burden of tuberculosis (TB) like India, it becomes pivotal to first rule out extrapulmonary lymph node TB. Also, the failure to recognize and treat the specific condition can significantly add up to the morbidity and the resultant mortality. Clavicular swelling or fractures can occasionally be a presentation of solitary plasmacytomas but, multiple myeloma involving clavicle is extremely rare. 10-40% cases of multiple myeloma are asymptomatic and incidentally detected. We present a case of 57 years old female with a left clavicular swelling, which was examined and diagnosed as multiple myeloma.