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General Medicine General 422d08fb

Biopsy of a reasonably well-demarcated mass of the nasopharynx from a 30 year old man, Kapoor, demonstrates a plasma cell proliferation. Serum electrophoresis shows a small monoclonal IgG spike. Bone marrow evaluation fails to demonstrate plasma cell proliferation and no lesions are seen on extensive skeletal x-rays. Which of the following is the most likely diagnosis?

A
Heavy chain disease
B
Monoclonal gammopathy of undetermined significance
C
Multiple myeloma
D
Plasmacytoma

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