Department of Haematology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100043, China.
Chin Med J (Engl). 2012 Aug;125(16):2948-50.
Multiple myeloma is a clonal proliferation of plasma cells with multiple osteolytic lesions. Extramedullary dissemination of multiple myeloma in ovary is relatively uncommon. A 54-year-old female patient, diagnosed as multiple myeloma three years ago, was admitted to the hospital for the complaints of intermittent abdominal pain for three days. The vaginal gynecological ultrasound showed celiac solid mass. The emergent laparotomy showed a significantly enlarged right cystic ovary and the pathological reviews showed ovarian plasmacytoma. The final diagnosis of this patient was ovarian extramedullary plasmacytoma rupture and bleeding.
多发性骨髓瘤是浆细胞的克隆性增殖，伴有多处溶骨性病变。多发性骨髓瘤在卵巢的髓外播散较为罕见。一名 54 岁女性患者，三年前被诊断为多发性骨髓瘤，因间歇性腹痛三天入院。阴道妇科超声显示腹腔实性肿块。急诊剖腹术显示右侧囊性卵巢明显肿大，病理检查显示卵巢浆细胞瘤。该患者的最终诊断为卵巢髓外浆细胞瘤破裂出血。
