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多发性骨髓瘤(简称MM)是浆细胞增生的恶性肿瘤.由于MM细胞的恶性增生程度和侵犯的器官、组织不同,并发症不同,临床表现复杂多样,初诊时易于产生误漏诊.本文收集我院所见25例,其中院外误诊20例,院内误诊5例,分析其临床表现及误诊原因,以提高对本病的诊断水平.临床资料一、一般资料 对照美国西南肿瘤组所采用的MM的诊断标准,本组病例均符合诊断.25例中,男14例,女11例,年龄36～68岁.平均年龄55岁,其中40岁以上的23例(92%).二、临床表现 MM临床表现主要为骨骼疼痛、溶骨性骨质破坏、贫血、肾脏损害及免疫球蛋白异常.但由于上述表现并非具有特异性,特别是
Multiple myeloma (referred to as MM) is a malignant tumor of plasma cell proliferation.My MM cells due to the degree of malignant proliferation and violations of organs, different tissues, different complications, complex clinical manifestations, The hospital found 25 cases, of which 20 were misdiagnosed outside the hospital, 5 were misdiagnosed hospital, analysis of its clinical manifestations and misdiagnosis of the reasons to improve the diagnosis of the disease.Clinical data A general information on the use of the United States Southwest oncology MM Diagnostic criteria, the group of patients are in line with the diagnosis of 25 cases, 14 males and 11 females, aged 36 to 68 years with an average age of 55 years, of which 23 cases (40%) over the age of 40. Second, the clinical manifestations of MM The main clinical manifestations of bone pain, osteolytic bone destruction, anemia, kidney damage and immunoglobulin abnormalities.But because of the above performance is not specific, especially