Devaraj Akshitha, Al-Sader Hassen
Watford General Hospital, Vicarage Rd., Watford, Hertfordshire, WD18 0HB, UK.
Radiol Case Rep. 2023 Feb 2;18(4):1485-1489. doi: 10.1016/j.radcr.2023.01.054. eCollection 2023 Apr.
Multiple myeloma is a cancer which is characterized by proliferation of malignant B-cells and plasma cell infiltration of bone marrow. Lytic lesions are one of its hallmarks, on radiological assessment. We report 2 cases who presented within 1 year to our hospital with bony lytic lesions on CT scan. They were investigated for multiple myeloma; however, there were no further features to suggest this. Both patients were confirmed to have prostate cancer. This is unusual as prostate cancer produces sclerotic lesions (unusual hardening or thickening of the bone).
多发性骨髓瘤是一种以恶性B细胞增殖和骨髓浆细胞浸润为特征的癌症。在影像学评估中，溶骨性病变是其特征之一。我们报告2例在1年内到我院就诊的患者，CT扫描显示有骨溶骨性病变。他们接受了多发性骨髓瘤的检查；然而，没有进一步的特征提示为此病。两名患者均被确诊为前列腺癌。这很不寻常，因为前列腺癌会产生硬化性病变（骨骼异常硬化或增厚）。
