Georgieva B, Raĭcheva D, Dobreva A, Shinkov D
Vutr Boles. 1978;17(6):86-90.
Clinical-laboratory observations were carried out on 40 patients with multiple plasmocytoma. Morbidity maximum was established to be during the fifth and sixth decade of life and that males are more frequently affected and bone manifestations are dominating initial symptoms. The anemic syndrome, the renal syndrome, erythrocyte sedimentation reaction and the data of the differential leukocyte count are discussed in details. Special attention is paid to the pathognomonic examinations in making the diagnosis: myelogram, electrophoresis and immunoelectrophoresis and bone roentgenography. The absence of changes in one of those examinations is concluded not to exclude the diagnosis multiple plasmocytoma as it is found in 10--20 per cent of the cases.
对40例多发性浆细胞瘤患者进行了临床实验室观察。确定发病高峰在50至60岁之间,男性更易患病,骨骼表现是主要的初始症状。详细讨论了贫血综合征、肾综合征、红细胞沉降反应和白细胞分类计数数据。在做出诊断时,特别关注具有诊断意义的检查:脊髓造影、电泳和免疫电泳以及骨骼X线检查。得出结论,这些检查中一项无变化并不排除多发性浆细胞瘤的诊断,因为在10%至20%的病例中会出现这种情况。