Light-Chain Myeloma Presented as Osseus Tumors: A Case Report.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL
Shengmin Huang, Mustafa Wasifuddin, Amulya Bellamkonda, Po-Shing Lee, M Rashid Chaudhry, Jen C Wang
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引用次数: 0

Abstract

Light-chain multiple myeloma (LCMM) is a rare subtype of plasma cell neoplasm, usually linked to kidney involvement and lytic bone lesions. However, case presents as osseus tumors are very uncommon. A 63-year-old male patient complained of persistent rib pain. Computed tomographic imaging showed an isolated bone tumor in the eighth rib. Further positron emission tomography-computed tomographic scan revealed multiple lytic bone lesions in other areas. Biopsy of the rib lesion confirmed the presence of plasma cells producing kappa light chains. The patient received 4 cycles of daratumumab, bortezomib, lenalidomide, and dexamethasone treatments, resulting in significant improvement. Reviewing literatures, osseus tumor with osteosclerotic lesions has been rarely described in LCMM, underlining the challenge in diagnosis and stressing the importance of considering LCMM in the differential diagnosis of bone tumors.

以骨肿瘤表现的轻链骨髓瘤1例报告。
轻链多发性骨髓瘤(LCMM)是浆细胞肿瘤的一种罕见亚型,通常与肾脏受累和骨溶解性病变有关。然而,骨肿瘤的病例并不常见。一名 63 岁的男性患者主诉肋骨持续疼痛。计算机断层扫描成像显示第八根肋骨上有一个孤立的骨肿瘤。进一步的正电子发射计算机断层扫描显示其他部位有多处溶解性骨病变。肋骨病变活检证实存在产生卡帕轻链的浆细胞。患者接受了4个周期的达拉单抗、硼替佐米、来那度胺和地塞米松治疗,病情明显好转。综观文献,骨肿瘤伴有骨硬化病变的病例很少见于LCMM,这凸显了诊断的挑战性,并强调了在骨肿瘤的鉴别诊断中考虑LCMM的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
165
审稿时长
12 weeks
期刊介绍: The AFMR is committed to enhancing the training and career development of our members and to furthering its mission to facilitate the conduct of research to improve medical care. Case reports represent an important avenue for trainees (interns, residents, and fellows) and early-stage faculty to demonstrate productive, scholarly activity.
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