Meoli A, Willsie S, Fiorella R
Pulmonary Division, Truman Medical Center, Kansas City, Mo., USA.
South Med J. 1997 Jan;90(1):65-8. doi: 10.1097/00007611-199701000-00015.
Malignant pleural effusions due to multiple myeloma are rare. Effusion in such patients is usually due to congestive heart failure or another process. Malignant myeloma cells identified in cytologic examination of the pleural fluid or by pleural biopsy establish the diagnosis of a myelomatous effusion. This finding portends a poor prognosis and death usually within 4 months.
多发性骨髓瘤所致恶性胸腔积液较为罕见。此类患者出现胸腔积液通常是由于充血性心力衰竭或其他病因。通过胸腔积液的细胞学检查或胸膜活检发现恶性骨髓瘤细胞可确诊骨髓瘤性胸腔积液。这一发现预示预后不良，患者通常在4个月内死亡。
