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多发性骨髓瘤(Multiple Myeloma简称MM)报道较少,软组织浆细胞肉瘤更少见;我院1983年收治一例特殊类型的MM,现报告如下。 陈某,女性,39岁,于1983年9月19日急诊入院。患者于三年前发现左锁骨内侧端有一拇指大肿物,呈进行性增大,无痛。于1982年7月在外院诊断为“锁骨巨细胞瘤”,行部分锁骨和胸骨柄切除术。术后病理诊断为“浆细胞骨髓瘤”,未行化疗。出院五个月后左锁骨内侧端再现无痛性肿物;近一月来增大迅速,如儿头大,伴气促、吞咽困难,不能平卧。左乳房及四肢相继出现大小不等的无痛性肿物。发病后体重减轻、多汗、声嘶、咳嗽;无出
Multiple Myeloma (MM) is rarely reported, and soft tissue plasma cell sarcoma is rarer. Our hospital received a special type of MM in 1983. The report is as follows. Chen, female, 39 years old, was admitted to the hospital on September 19, 1983. Three years ago, the patient found a large thumb mass on the medial side of the left clavicle, showing progressive enlargement without pain. In July 1982, he was diagnosed as a giant cell tumor of the clavicle at the external hospital. A partial clavicular and sternal stem resection was performed. Postoperative pathological diagnosis was “plasma cell myeloma” without chemotherapy. Five months after discharge, the left clavicle showed a painless mass on the medial end of the left clavicle and increased rapidly in the last month. If the head of the child was too large, it was associated with shortness of breath and difficulty in swallowing. Painless masses of varying sizes occur one after another in the left breast and limbs. Weight loss, sweating, hoarseness, and cough after onset;