Schoos Ann-Marie Malby, Steentoft Johnna, Petersen Michael Mørk, Shaker Saher Burhan
Intern Medicinsk Afdeling, Frederikssund Hospital, DK-3600 Frederikssund, Denmark.
Ugeskr Laeger. 2010 Mar 1;172(9):711-2.
A 71-year-old man was referred to the lung department with pain in the right side of the chest through three months, especially when physically active. The patient presented with a tendency to shortness of breath, fatigue, low energy level and night sweats. The tentative diagnosis of pleural tumour/metastases was made. Chest x-ray showed pleural thickening and poorly defined ribs on the right side, consistent with bone destruction. Computed tomography showed a big mass in the 5th rib and universal bone lesions. Biopsy from the rib revealed the diagnosis of myelomatosis.
一名71岁男性因右侧胸痛三个月，尤其是在体力活动时，被转诊至胸科。患者有气短、疲劳、精力不足和盗汗倾向。初步诊断为胸膜肿瘤/转移瘤。胸部X光显示右侧胸膜增厚，肋骨边界不清，与骨质破坏相符。计算机断层扫描显示第5肋骨有一个大肿块和全身骨病变。肋骨活检确诊为骨髓瘤。
