计算机断层扫描在多发性骨髓瘤及其变异型诊断和管理中的应用

Computed tomography in diagnosis and management of multiple myeloma and its variants.

作者信息

Kyle R A, Schreiman J S, McLeod R A, Beabout J W

出版信息

Arch Intern Med. 1985 Aug;145(8):1451-2.

Abstract

The use of computed tomography (CT) was evaluated in 25 patients with multiple myeloma, six with extramedullary plasmacytoma, and two with undiagnosed lesions. We found that CT was useful for (1) patients with multiple myeloma who had bone pain but normal roentgenograms, (2) patients with an M-protein, bone marrow plasmacytosis, and back pain from osteoporosis and compression fractures but an inconclusive diagnosis of multiple myeloma, (3) the determination of extent of tumor, and (4) guidance in needle biopsy.

摘要

对25例多发性骨髓瘤患者、6例髓外浆细胞瘤患者和2例未确诊病变患者进行了计算机断层扫描（CT）的应用评估。我们发现CT对以下情况有用：（1）有骨痛但X线片正常的多发性骨髓瘤患者；（2）有M蛋白、骨髓浆细胞增多症以及因骨质疏松和压缩性骨折导致背痛但多发性骨髓瘤诊断不明确的患者；（3）确定肿瘤范围；（4）指导针吸活检。