Mandibular Punched Out Lesions of Myeloma-Report of a Case

A female Tiwanese patient with chief problems of back pain and chest pain was disclosed as a case of multiple myeloma. Mild tender of right cheek was noted. Mandibular panorex film showed multiple punched out lesions. Bone marrow morphology discovered plenty of abnormal plasma cells. Immunoelectropheresis revealed a case of IgG-K type myeloma. Skull X ray also showed multiple round osteolytic lesions. After treatment, mandibular punched out lesions showed mild improvement.The incidence of jawsinvolvment of myeloma has not screened yet in Taiwan. The presence of jaws involvment of myeloma in this case may rather suggest a clinically advanced stage of the disease than a primary manifestation of myeloma.