免疫球蛋白D型骨髓瘤的骨外硬膜外肿瘤

Extraosseous epidural tumor of immunoglobulin D myeloma.

作者信息

Matsui H, Fujie H, Tsuji H

机构信息

Department of Orthopaedic Surgery, Toyama Medical and Pharmaceutical University, Faculty of Medicine, Japan.

出版信息

J Spinal Disord. 1992 Sep;5(3):366-9. doi: 10.1097/00002517-199209000-00017.

DOI:10.1097/00002517-199209000-00017

PMID:1520997

Abstract

We report a rare case of an immunoglobulin D (IgD) myeloma mass that occupied the lumbar epidural space. The patient presented with paraparesis combined with an extremely high concentration of serum IgD, and azotemia. A complete remission was obtained after combination chemotherapy, but the patient died from an epidural tumor in the high thoracic region 19 months after the onset of symptoms.

摘要

我们报告一例罕见的免疫球蛋白D（IgD）骨髓瘤肿块占据腰椎硬膜外间隙的病例。该患者表现为双下肢轻瘫，合并血清IgD浓度极高及氮质血症。联合化疗后获得完全缓解，但患者在症状出现19个月后死于高位胸椎硬膜外肿瘤。