Systemic disease presenting as frontal forehead lump

We describe in this report a case of a Solitary Extramedullary Plasmacytoma presenting as a forehead lump in a 74-year-old woman with previous history of Multiple Myeloma. Forehead lumps are an uncommon presentation in otorhinolaryngology patients and a significant proportion are manifestations of malignancies. We have found extremely few publications in the literature indicating locations of Extramedullary Plasmacytoma in the frontal sinus. Besides that, a recurrent Multiple Myeloma presenting as an Extramedullary Plasmacytoma despite concomitant bone marrow response to therapy is a rare presentation of relapsed disease. This clinical report highlights the fact that systemic diseases may manifest in our clinical practice and there should be a high index of suspicion, in order to the patient could be treated in the best wa