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Myelomatous Pleural Effusion in Multiple Myeloma-A Case Report and Literature Review

多發性骨隨瘤併惡性胸水-病例報告及文獻回顧

摘要


有個77歲的女性病人因骨頭疼痛至骨科門診求診,之後並伴有食慾不振及體重減輕,後來逐漸地喘起來,胸部X光發現左肺變白,胸部超音波可見左肋膜腔大量積水及一些小腫瘤長在左肋膜上。肋膜積液存在較原始形態的細胞(anaplastic cells),骨髓檢查確診為多發性骨隨瘤。以惡性胸水為多發性骨隨瘤的表現並不多見,從1950年代至今在英文文獻中約三十例,我們報告此個案及回顧以往的病例。

並列摘要


A 77-year-old woman was admitted due to progressive dyspnea on exertion for 2 weeks. Chest radiography showed opacification of the left hemithorax. Chest ultrasonography revealed a massive amount of pleural effusion and multiple nodular lesions on the left pleura. Pleural effusion cytology showed dispersed anaplastic cells resembling plasma cells. Bone marrow biopsy verified the diagnosis of multiple myeloma. Malignant pleural effusion is a rare manifestation of multiple myeloma. Approximately 30 cases have been reported in the English literature since 1950. We herein report 1 case and review the literature.

並列關鍵字

multiple myeloma pleural effusion

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