医学
浆细胞瘤
多发性骨髓瘤
髓外浆细胞瘤
浆细胞肿瘤
磁共振成像
等离子体电池
病理
放射科
软组织
病变
内科学
作者
Richard Soutar,Helen Lucraft,Gregory L. Jackson,A. T. Reece,Jenny Bird,Eric Low,Diana Samson
标识
DOI:10.1016/j.clon.2004.02.007
摘要
Most patients with plasma cell neoplasia have generalised disease at diagnosis (i.e. multiple myeloma [MM]). However, a few patients (less than 5%) with plasma cell malignancies present with either a single bone lesion, or less commonly, a soft tissue mass of monoclonal plasma cells: solitary plasmacytoma of bone (SBP) or extramedullary plasmacytoma (SEP). SBP has a high risk of progression to MM and, on magnetic resonance imaging (MRI) examination, at least 25% of patients with an apparent solitary lesion have evidence of disease elsewhere [ 1 Moulopoulos L.A. Dimopoulos M.A. Weber D. Fuller L. Libshitz H. Alexanian R. Magnetic resonance imaging in the staging of solitary plasmacytoma of bone. J Clin Oncol. 1993; 11: 1311-1315 PubMed Google Scholar ]. In contrast, SEP is nearly always truly localised and has a high cure rate with local treatment.
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