Wise J N, Schaefer R F, Read R C
Department of Radiology, Massachusetts General Hospital, Boston, MA, USA.
Chest. 2001 Oct;120(4):1405-7. doi: 10.1378/chest.120.4.1405.
Most extramedullary plasmacytomas are associated with the upper respiratory tract. Primary pulmonary plasmacytomas are rare, and the treatment is surgical excision. This malignancy advances to multiple myeloma in a minority of patients. The patient in our case report is the first to experience renal failure due to hematologic monoclonal gammopathy. Postoperatively, serum protein electrophoresis reverted to normal.
大多数髓外浆细胞瘤与上呼吸道有关。原发性肺浆细胞瘤罕见,治疗方法为手术切除。少数患者会发展为多发性骨髓瘤。我们病例报告中的患者是首例因血液系统单克隆丙种球蛋白病而出现肾衰竭的患者。术后,血清蛋白电泳恢复正常。