急性复视与孤立性肺肿块：轻链型骨髓瘤的一种独特表现。

Acute diplopia and a solitary lung mass: a unique presentation of light-chain myeloma.

作者信息

Foresman B H, Friess G, Brown A, McIntosh W

机构信息

Department of Medicine, University of North Texas Health Science Center at Fort Worth-Texas College of Osteopathic Medicine (TCOM), USA.

出版信息

J Am Osteopath Assoc. 1996 Jun;96(6):371-2.

PMID:8690628

Abstract

The patient described, a 51-year-old woman, had diplopia and cephalgia of two weeks' duration. On admission, the radiologic evaluation revealed a mass in the sphenoid sinus, multiple lesions in the calvarium and a solitary lung mass. Biopsy of the lung mass revealed an atypical plasmacytic infiltration. Laboratory findings confirmed the diagnosis of light-chain myeloma presenting with a pulmonary plasmacytoma and cranial nerve involvement.

摘要

所述患者为一名51岁女性，有持续两周的复视和头痛症状。入院时，影像学评估显示蝶窦有一肿块、颅骨有多处病变以及肺部有一个孤立性肿块。肺部肿块活检显示非典型浆细胞浸润。实验室检查结果确诊为轻链型骨髓瘤，伴有肺浆细胞瘤和颅神经受累。