Multiple myeloma in a patient with hoarseness, dysphagia, aspiration, and cervical lymphadenopathy

April 1, 2004 by James K. Fortson, MD, MPH, MBA, FACS; Ahmad Nuriddin, MD; Freda McCarter, MD; Vernon J. Henderson, MD; Vijaykumar Patel, MB, BS, FRCS, FACS
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Abstract. Multiple myeloma, which primarily affects the elderly, is rare in the head and neck. We report the case of a 71-year-old man who came to us with hoarseness, dysphagia, intermittent aspiration, and cervical lymphadenopathy. Our work-up included laboratory tests, radiographic examinations, analysis of bone marrow aspiration, and histopathologic evaluations. Cervical lymph node biopsy confirmed a diagnosis of multiple myeloma.

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