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酷似多发性骨髓瘤的棕色瘤:一例报告

Brown tumors mimicking multiple myeloma: A case report.

作者信息

Herrera Ortiz Andrés Felipe, Olarte Laura, Del Castillo Valeria, Duarte José Nicolás, Rojas Julián, Aguirre Diego

机构信息

Radiology, Fundación Santa Fe de Bogotá, Bogotá, Colombia.

Medicine, Universidad El Bosque, Bogotá, Colombia.

出版信息

Radiol Case Rep. 2024 Nov 15;20(1):841-845. doi: 10.1016/j.radcr.2024.10.055. eCollection 2025 Jan.

Abstract

Brown tumors (BT) are rare reactive bone lesions associated with hyperparathyroidism, often posing a diagnostic challenge due to their imaging similarity to multiple myeloma and lytic metastases. In this case, we present a 45-year-old woman with right-sided hip pain who underwent imaging studies showing numerous lytic hypermetabolic lesions initially suggestive of secondary neoplastic involvement vs multiple myeloma, necessitating several imaging tests for the conclusive diagnosis of BT. This case report aims to provide a contemporary overview of BT, elucidating differentiators from alternative diagnoses such as multiple myeloma.

摘要

棕色瘤(BT)是与甲状旁腺功能亢进相关的罕见反应性骨病变,由于其影像学表现与多发性骨髓瘤和溶骨性转移瘤相似,常常带来诊断挑战。在此病例中,我们报告一名45岁右侧髋部疼痛的女性,其影像学检查显示有大量溶骨性高代谢病变,最初提示继发性肿瘤累及或多发性骨髓瘤,因此需要进行多项影像学检查以确诊棕色瘤。本病例报告旨在对棕色瘤进行当代概述,阐明其与多发性骨髓瘤等其他诊断的鉴别要点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/173f/11609534/192792787f9f/gr1.jpg

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