Bousser M G, Bouche P, Delauche M C, Meignan S, Clauvel J P, Laplane D
Nouv Presse Med. 1981 Jan 24;10(3):157-60.
A new case of extensive subacute polyradiculoneuritis associated with a costal plasmocytoma secreting IgG lambda is reported. Radiotherapy of the rib, resulted in remarkable neurological improvement and haematological cure, which have now persisted for more than 5 years, though treatment was discontinued 3 years ago. By its distinctive haematological features, this case illustrates the lack of clear-cut distinction between "solitary" plasmocytoma and multiple myeloma. It also emphasizes the need for systematic testing for plasma cell proliferation when confronted with a subacute or chronic neuropathy of obscure origin.
报告了1例与分泌IgG λ的肋骨浆细胞瘤相关的广泛性亚急性多神经根神经炎新病例。肋骨放疗后,神经功能显著改善,血液学指标治愈,尽管3年前已停止治疗,但目前这些改善已持续超过5年。该病例具有独特的血液学特征,说明了“孤立性”浆细胞瘤与多发性骨髓瘤之间缺乏明确的区分。它还强调,当面对病因不明的亚急性或慢性神经病时,有必要对浆细胞增殖进行系统检测。