Brenner B, Nagler A, Viener A, Sharon R, Carter A
Scand J Haematol. 1986 Oct;37(4):360-2. doi: 10.1111/j.1600-0609.1986.tb02327.x.
Concomitant occurrence of meningeal involvement and thoracic plasmacytoma was observed in a patient with IgA lambda myeloma. Cerebrospinal fluid analysis revealed IgA-lambda paraprotein and pathological plasma cells. CT scan of the chest and lumbar myelogram excluded spinal cord compression. The patient partially responded to craniospinal irradiation but succumbed to rapidly progressive myeloma 20 weeks following diagnosis of meningeal involvement.
一名IgA λ型骨髓瘤患者同时出现了脑膜受累和胸段浆细胞瘤。脑脊液分析显示存在IgA-λ副蛋白和病理性浆细胞。胸部CT扫描和腰椎脊髓造影排除了脊髓压迫。该患者对颅脑脊髓照射部分缓解，但在诊断脑膜受累20周后死于快速进展的骨髓瘤。
