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以颌骨为主要表现的多发性骨髓瘤

Multiple Myeloma with Primary Manifestation in the Mandible.

作者信息

Ali Ibrahim K, Parate Amit R, Kasat Vikrant O, Dora Amaresh

机构信息

Oral Medicine and Radiology, Nair Hospital Dental College.

Oral Medicine and Radiology, Govt. Dental College, Aurangabad.

出版信息

Cureus. 2018 Mar 3;10(3):e2265. doi: 10.7759/cureus.2265.

DOI:10.7759/cureus.2265
PMID:29732272
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5933576/
Abstract

Multiple myeloma (MM) is a malignant neoplasm of plasma cell origin. It usually has a multicentric origin within the bone. It contributes to about 1% of all malignancies and 15% of all hematologic malignancies. There is a monoclonal proliferation of abnormal plasma cells in this disease that results from a single malignant precursor that has undergone an uncontrolled mitotic division. Later, these cells produce one type of immunoglobulin light chain, either kappa or lambda. We present a case of a 46‑year‑old male patient who presented with a swelling of the mandible. The punched-out radiolucencies in the skull radiograph and the immunohistochemistry confirmed the case as MM.

摘要

多发性骨髓瘤(MM)是一种起源于浆细胞的恶性肿瘤。它通常在骨骼内多中心起源。它约占所有恶性肿瘤的1%,占所有血液系统恶性肿瘤的15%。在这种疾病中,异常浆细胞呈单克隆增殖,这是由单个经历了不受控制的有丝分裂的恶性前体细胞导致的。随后,这些细胞产生一种免疫球蛋白轻链,要么是κ链,要么是λ链。我们报告一例46岁男性患者,该患者表现为下颌骨肿胀。颅骨X线片上的圆形透亮区及免疫组化检查确诊该病例为多发性骨髓瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/552d/5933576/37e73aa6d1c7/cureus-0010-00000002265-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/552d/5933576/17fb77b5d747/cureus-0010-00000002265-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/552d/5933576/7b0e7523ef0f/cureus-0010-00000002265-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/552d/5933576/d08133ae917f/cureus-0010-00000002265-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/552d/5933576/37e73aa6d1c7/cureus-0010-00000002265-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/552d/5933576/17fb77b5d747/cureus-0010-00000002265-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/552d/5933576/7b0e7523ef0f/cureus-0010-00000002265-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/552d/5933576/d08133ae917f/cureus-0010-00000002265-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/552d/5933576/37e73aa6d1c7/cureus-0010-00000002265-i04.jpg

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本文引用的文献

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Aetiology of bone disease and the role of bisphosphonates in multiple myeloma.骨病的病因及双膦酸盐在多发性骨髓瘤中的作用。
Lancet Oncol. 2003 May;4(5):284-92. doi: 10.1016/s1470-2045(03)01076-3.
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Review of 1027 patients with newly diagnosed multiple myeloma.对1027例新诊断的多发性骨髓瘤患者的回顾。
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