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흉벽과 복부림프절의 형질세포종과 늑막삼출이 동반된 다발성 골수종 1례

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Affiliated Author(s)
송홍석박성배김현철
Alternative Author(s)
Song, Hong SukPark, Sung BaeKim, Hyun Chul
Journal Title
Keimyung Medical Journal
Issued Date
1998
Keyword
Multiple myelomaPlasmacytomaChest wallLymph nodePleural effusion
Abstract
Here, we present a case of multiple myeloma with plasmacytomas of chest wall and abdominal lymph nodes and bloody pleural effusion.
A 60-year-old man complained of general weakness. Chesr CT scanning showed multiple bony destructive lesions at right 7, 8, 9th ribs with enhanced soft tissue densities and large amount of fluid collection in right pleural space. Abdominal CT scanning showed multiple variable sized isodense nodular mass with enhancement at perihepatic, left retrocrural and left adrenal areas with contracted both kidneys. Bone scintigraphy showed hot spots in left 1, 3, 6th and right 7, 8, 9th ribs, lower thoracic and lumbar spines. Serum protein electrophoresis revealed mild monoclonal gammopathy of lambda type, but the urine contained no monoclonal gammopathy. Iliac bone marrow aspiration and biopsy revealed infiltration of 56% of immature plasma cells. Biopsy of chest wall mass showed diffuse proliferation of myeloma cells of lambda light chain type. After 6 cycle of VAD combination chemotherapy, intraabdominal plasmacytomas were disappeared.
Alternative Title
A Case of Multiple
Myeloma with Plasmacytomas of Chest Wall; Abdominal Lymph Node and Pleural Effusion
Department
Dept. of Internal Medicine (내과학)
Institute for Medical Science (의과학연구소)
Publisher
Keimyung University School of Medicine
Citation
송홍석 et al. (1998). 흉벽과 복부림프절의 형질세포종과 늑막삼출이 동반된 다발성 골수종 1례. Keimyung Medical Journal, 17(3), 404–412.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15100
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 1998
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
3. Research Institutues (연구소) > Institute for Medical Science (의과학연구소)
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