Jagger R G, Helkimo M, Carlsson G E
J Oral Surg. 1978 Jul;36(7):557-9.
A case of multiple myeloma was reported in which the initial symptom was pain and dysfunction of the TMJ that resulted from pathological fracture of the mandibular condyle. An initial radiographic skeletal survey showed no evidence of further lesions, although hematological and biochemical tests indicated a diagnosis of multiple myeloma. Treatment resulted in improvement of symptoms and of an evident regression of the lesion after 18 months. After a year, however, radiographs disclosed generalized skeletal involvement; deterioration of the general condition followed.
报告了一例多发性骨髓瘤病例，其最初症状是颞下颌关节疼痛和功能障碍，这是由下颌髁突病理性骨折引起的。最初的骨骼X线检查未发现进一步病变的证据，尽管血液学和生化检查表明诊断为多发性骨髓瘤。治疗使症状得到改善，18个月后病变明显消退。然而，一年后，X线片显示全身骨骼受累；随后全身状况恶化。
