多发性骨髓瘤和多细胞血症的罕见共存 维拉
Alexander Landsman1, Priyanka Barua2, Alida Podrumar2
1Department of Internal Medicine, Nassau University Medical Center, East Meadow, NY 11554, USA.
Journal of hematology
|November 8, 2023
概括
本病例报告详细介绍了一种罕见的多发性骨髓瘤 (MM) 与真多细胞瘤 (PCV) 并存的情况. 它强调了这些血液性恶性瘤的非典型表现和诊断考虑.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
背景情况:
- 多发性髓瘤 (MM) 通常表现为贫血,高血症,功能衰竭和骨病 (CRAB标准).
- 贫血是超过70%的MM患者的常见发现.
- 罕见地,MM可能会出现多细胞血症,这种情况的特征是红细胞数量升高.
研究的目的:
- 报告一个65岁的女性患有并存多发性骨髓瘤和多细胞血病的独特病例.
- 讨论多发性骨髓瘤的扩展诊断标准.
- 探索潜在的病理生理学背后的多细胞血和多发性骨髓瘤的同时发生.
主要方法:
- 案例报告的呈现方式.
- 对未确定的意义单克隆性甘马病 (MGUS),燃烧性骨髓瘤和多发性骨髓瘤的诊断标准的审查.
- 讨论真多细胞血症 (PCV) 和它与MM的关联.
主要成果:
- 该患者被诊断为具有不确定的意义的单克隆性骨髓瘤病变 (MGUS),该病变进展为燃烧性骨髓瘤,随后发展为多发性骨髓瘤 (MM).
- 该患者还出现了同时存在的真多细胞血症 (PCV).
- 这一案例强调了在血液恶性瘤中考虑非典型表现的重要性.
结论:
- 多发性骨髓瘤和真菌多细胞瘤的共存是罕见的,但可能的.
- 扩大诊断意识对于识别MM的不寻常表现至关重要.
- 需要进一步研究结合性血液学疾病的病理生理学.
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