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Chest Wall Extramedullary Plasmacytoma with Myelomatous Pleural Effusion

胸壁漿細胞瘤合併大量的骨髓瘤性肋膜積液

摘要


漿細胞瘤主要侵犯骨髓,也可以影響許多其他器官。在多發性骨髓瘤患者中發生肋膜積液並不常見;肋膜積液有許多病因,包括充血性心臟衰竭,腎病症候群,感染,慢性腎衰竭,肺栓塞,甚至是續發性惡性腫瘤所造成。在多發性骨髓瘤患者發生骨髓瘤性肋膜積液是極其罕見的。我們提出胸壁的漿細胞瘤合併有骨髓瘤性肋膜積液的罕見病例,骨髓瘤性肋膜積液是經由肋膜積液細胞學檢查和肋膜切片檢查診斷,並且做文獻回顧。

並列摘要


Plasmacytoma primarily involves the bone marrow, but can also be present in many other organs. Pleural effusion in patients with multiple myeloma is not common, and has many etiologies, including congestive heart failure, nephrotic syndrome, infection, chronic renal failure, pulmonary embolism, and even secondary malignancy. Myelomatous pleural effusions in patients with extramedullary plasmacytoma are extremely rare. We presented a case of extramedullary plasmacytoma of the chest wall presenting with myelomatous pleural effusion. The myelomatous pleural effusion was diagnosed by cytology of the pleural effusion and pleural biopsy.

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