Babu Govind K, Saldanha Smitha C, Lokesh K N, Suresh Babu M C, Patil Akkamaha Devi, Kiran Pretesh R, Lakshmaiah K C, Lokanatha D
Department of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India.
Department of Pathology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India.
Lung India. 2017 Mar-Apr;34(2):176-178. doi: 10.4103/0970-2113.201318.
Multiple myeloma (MM) is a plasma cell neoplasm and constitutes 10% of hematologic malignancies. Malignant myelomatous pleural effusions are very rare and occur in <1% of cases of MM. In this article, we report a rare case of a patient who initially presented with pleural effusion and was subsequently found to be secondary to MM with an underlying raised IgG paraprotein. The patient symptomatically improved and was in partial remission with palliative radiotherapy, VTD chemotherapy, and bisphosphonates.
多发性骨髓瘤（MM）是一种浆细胞肿瘤，占血液系统恶性肿瘤的10%。恶性骨髓瘤性胸腔积液非常罕见，在MM病例中发生率<1%。在本文中，我们报告了一例罕见病例，该患者最初表现为胸腔积液，随后被发现是继发于MM，伴有潜在升高的IgG副蛋白。患者症状改善，通过姑息性放疗、VTD化疗和双膦酸盐治疗达到部分缓解。
