Kim Im-Kyung, Kang Jeonghyun, Kim Yu Ri, Jeon Tae Joo, Baik Seung Hyuk, Sohn Seung-Kook
Department of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Ann Coloproctol. 2017 Apr;33(2):70-73. doi: 10.3393/ac.2017.33.2.70. Epub 2017 Apr 28.
A presumptive diagnosis of bone metastasis can be easily made when a patient with a history of colorectal cancer develops bone lesions that are seen on follow-up imaging. In this case report, we describe a patient whose multiple bone lesions were wrongly attributed to a recurrence of rectal cancer rather than being identified as multiple myeloma lesions. When clinicians detect new, abnormal, bony lesions in a patient with a previous history of cancer, they should consider diseases such as multiple myeloma in their differential diagnosis.
当一名有结直肠癌病史的患者出现后续影像学检查可见的骨病变时，骨转移的初步诊断很容易做出。在本病例报告中，我们描述了一名患者，其多处骨病变被错误地归因于直肠癌复发，而未被识别为多发性骨髓瘤病变。当临床医生在有癌症病史的患者中检测到新的、异常的骨病变时，在鉴别诊断中应考虑诸如多发性骨髓瘤等疾病。
