在两年期间,一对单卵双胎发生多发性骨髓瘤,第一例病人四年后仍旧活着,他的挛生弟于诊断后的一年内死亡。两个病例已明确诊断为单卵杂合子,付蛋白都是 IgGk,本文讨论了在骨髓瘤的病原学方面环境和遗传因素的相对影响,作者相信,这是在已报告的双胎中第一个骨髓瘤病例。 Multiple myeloma occurs in one pair of monozygotic twins during the two years. The first patient survived four years later and his twin died within a year after diagnosis. Two cases have been specifically diagnosed as monozygotic heterozygotes, all IgGs paid for proteins. This article discusses the relative effects of environmental and genetic factors in the etiology of myeloma. The authors believe this is the first of the reported twins Myeloma cases.