病例报告:洞穴鼻腔综合征作为多发性骨髓瘤的初始表现
Rebecca F Silverman1, Lawrence Hanson1, Navid Salahi2
1Department of Ophthalmology, SUNY Downstate, Brooklyn, NY, United States.
Frontiers in ophthalmology
|July 10, 2024
概括
多发性骨髓瘤是一种罕见的血液癌症,可以呈现出不寻常的眼睛症状,如双视和眼垂垂. 这一案例突出了洞穴鼻中的血细胞瘤作为多发性骨髓瘤的潜在早期迹象.
科学领域:
- 血液学 血液学 血液学
- 神经眼科神经眼科
- 在瘤学瘤学.
背景情况:
- 多发性骨髓瘤 (MM) 是一种流行的血液恶性瘤,也是主要的骨恶性瘤.
- 眼部MM的表现不常见,但可以是诊断的初始指标.
- 洞穴鼻综合征呈现出各种病因,眼科医生经常遇到.
研究的目的:
- 报告一个罕见的洞穴性鼻腔血瘤病例,作为多发性骨髓瘤的初始表现.
- 强调考虑MM在头骨底部质量引起洞穴鼻综合征的重要性.
主要方法:
- 案例报告的呈现方式.
- 临床检查,包括对双眼视,阴和眼的评估.
- 多发性骨髓瘤的诊断成像和系统性检查.
主要成果:
- 一名患者出现了洞穴性鼻综合征的症状 (双眼视,垂死,眼).
- 诊断发现了一个洞穴性鼻等离子细胞瘤.
- 系统评估证实了多发性骨髓瘤.
结论:
- 洞穴鼻腔血瘤是一种罕见但可能的多发性骨髓瘤的表现.
- 应将MM纳入与洞穴性鼻综合征相关的头骨底部质量的差异诊断.
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