Kapadia S B
Arch Pathol Lab Med. 1977 Oct;101(10):534-5.
The cytological examination of pleural fluid established the malignant etiology of the effusion in two patients with multiple myeloma. In contrast to patients with lymphoma, mediastinal lymph node enlargement in myeloma is an uncommon factor in fluid formation. As in patients with metastatic carcinoma, pleural and underlying lung involvement by myeloma is the main cause of pleural effusion. The two cases in this report, and similar cases in the literature, probably represent distal dissemination from skeletal multiple myeloma.
对两名多发性骨髓瘤患者的胸腔积液进行的细胞学检查确定了积液的恶性病因。与淋巴瘤患者不同，骨髓瘤患者纵隔淋巴结肿大是积液形成中不常见的因素。与转移性癌患者一样，骨髓瘤累及胸膜和肺实质是胸腔积液的主要原因。本报告中的两例病例以及文献中的类似病例，可能代表了骨骼多发性骨髓瘤的远处播散。
