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浆细胞异常增殖性疾病的最新成像与分期

State-of-the-Art Imaging and Staging of Plasma Cell Dyscrasias.

作者信息

Amini Behrang, Yellapragada Sarvari, Shah Shetal, Rohren Eric, Vikram Raghunandan

机构信息

Musculoskeletal Imaging, Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USA.

Hematology & Oncology, Medicine, Michael E DeBakey VA Medical Center, Baylor College of Medicine, 2002 Holcombe Boulevard, Houston, TX 77030, USA.

出版信息

Radiol Clin North Am. 2016 May;54(3):581-96. doi: 10.1016/j.rcl.2015.12.008. Epub 2016 Mar 21.

Abstract

Monoclonal gammopathy of unknown significance (MGUS) is a clinically asymptomatic premalignant clonal plasma cell or lymphoplasmacytic proliferative disorder. Smoldering multiple myeloma, also called asymptomatic multiple myeloma, is an intermediate stage between MGUS and symptomatic multiple myeloma. As the name implies, extraosseous or extramedullary myeloma refers to the presence of myeloma deposits outside the skeletal system. Waldenström macroglobulinemia is a distinct subtype of plasma cell dyscrasia characterized by lymphoplasmacytic lymphoma in the bone marrow with an associated IgM monoclonal gammopathy. Amyloidosis is a condition characterized by extracellular deposition of fibrils composed of a variety of normal serum proteins.

摘要

意义未明的单克隆丙种球蛋白病(MGUS)是一种临床无症状的癌前克隆性浆细胞或淋巴浆细胞增殖性疾病。冒烟型多发性骨髓瘤,也称为无症状性多发性骨髓瘤,是MGUS和有症状的多发性骨髓瘤之间的中间阶段。顾名思义,骨外或髓外骨髓瘤是指骨髓瘤沉积物存在于骨骼系统之外。华氏巨球蛋白血症是浆细胞发育异常的一种独特亚型,其特征是骨髓中存在淋巴浆细胞淋巴瘤并伴有IgM单克隆丙种球蛋白病。淀粉样变性是一种以由多种正常血清蛋白组成的纤维在细胞外沉积为特征的病症。

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