{"title":"多发性骨髓瘤髓外播散:一例罕见的脑脊膜受累及综合治疗结果。","authors":"Tanya Stoeva, Zhivka Dancheva, Sofiya Chausheva, Tsvetelina Yordanova, Borislav Chaushev, Aneliya Klisarova","doi":"10.3897/folmed.67.e132922","DOIUrl":null,"url":null,"abstract":"<p><p>Multiple myeloma (MM) is a clonal plasma cell malignancy often confined to the bone marrow, although extramedullary disease (EMD) can develop, especially in advanced or relapsed cases. Leptomeningeal EMD is a rare and aggressive manifestation associated with a dismal prognosis. This case report highlights the critical role of 18F-FDG PET/CT in managing such complex presentations.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"67 2","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Extramedullary dissemination in multiple myeloma: a case report of rare leptomeningeal involvement and comprehensive treatment outcomes.\",\"authors\":\"Tanya Stoeva, Zhivka Dancheva, Sofiya Chausheva, Tsvetelina Yordanova, Borislav Chaushev, Aneliya Klisarova\",\"doi\":\"10.3897/folmed.67.e132922\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Multiple myeloma (MM) is a clonal plasma cell malignancy often confined to the bone marrow, although extramedullary disease (EMD) can develop, especially in advanced or relapsed cases. Leptomeningeal EMD is a rare and aggressive manifestation associated with a dismal prognosis. This case report highlights the critical role of 18F-FDG PET/CT in managing such complex presentations.</p>\",\"PeriodicalId\":12415,\"journal\":{\"name\":\"Folia medica\",\"volume\":\"67 2\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-03-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Folia medica\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3897/folmed.67.e132922\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Dentistry\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Folia medica","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3897/folmed.67.e132922","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Dentistry","Score":null,"Total":0}
Extramedullary dissemination in multiple myeloma: a case report of rare leptomeningeal involvement and comprehensive treatment outcomes.
Multiple myeloma (MM) is a clonal plasma cell malignancy often confined to the bone marrow, although extramedullary disease (EMD) can develop, especially in advanced or relapsed cases. Leptomeningeal EMD is a rare and aggressive manifestation associated with a dismal prognosis. This case report highlights the critical role of 18F-FDG PET/CT in managing such complex presentations.