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Macrofocal multiple myeloma with frontal plasmacytoma

A 27-year-old man presented with a 5-month history of left-sided forehead swelling. The patient had no other symptoms. Examination was unremarkable except for pallor and swelling of the left frontal bone displacing the orbit in a downward and outward direction (figure 1A, B).



Figure 1 
(A) Frontal view showing protuberant mass in left forehead causing downwards and outwards displacement of orbit pretherapy. (B) Left lateral view showing protuberant mass in left forehead causing downwards displacement of orbit pretherapy. (C and D) Frontal and left lateral views showing resolution of forehead swelling postchemotherapy.



The patient had …