van Dijk P G C J, Suttorp C M, van der Waal I
Uit de Afdeling Mondziekten en Kaakchirurgie/Pathologie van het VU Medisch Centrum in Amsterdam.
Ned Tijdschr Tandheelkd. 2006 Apr;113(4):146-7.
A 63-year-old woman was referred to a department of oral and maxillofacial surgery because of slowly increasing enlargement of the tongue. Histopathologic examination of a biopsy showed the presence of amyloid. Further physical and laboratory studies disclosed the presence of multiple myeloma (Kahler's disease). A few years before, the patient had been operated for metacarpol syndrome of both hands, most likely because of amyloid deposition. The patient underwent a stam cell transplantation. After one year follow-up the patient is still alive. There was no distinct regression of the macroglossia.
一名63岁女性因舌头逐渐肿大被转诊至口腔颌面外科。活检的组织病理学检查显示存在淀粉样蛋白。进一步的体格检查和实验室检查发现了多发性骨髓瘤(卡勒氏病)。几年前,该患者因双手掌指综合征接受了手术,最可能的原因是淀粉样蛋白沉积。患者接受了干细胞移植。经过一年的随访,患者仍然存活。巨舌症没有明显消退。