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多发骨髓瘤是一种常见的由浆细胞异常增生所致的造血系统恶性肿瘤。由于本病起病隐袭,临床表现多种多样,容易误诊。本文对我院2001年1月~2012年3月间收治的21例多发骨髓瘤疑似患者,进行CT系统性检查。通过回顾分析,后经骨髓涂片和手术病理证实,采用东芝16排CT进行检查,分析多发骨髓瘤的影像表现。1临床资料本组21例患者中,男16例,女5例,年龄51~68岁,平均61.4岁。临床表现为全身性疼痛11例,疼痛部位多位于腰骶部,其次为胸壁和肢体出现疼痛症状;7例呈贫血貌,3例发热,18例骨骼疼痛,肝脾肿大2例,2例肾功能出现异常改变,病理骨折3例。所有病例骨髓涂片分析,其骨髓浆细胞占
Multiple myeloma is a common hematopoietic malignancy caused by abnormal proliferation of plasma cells. Insidious onset of the disease, a variety of clinical manifestations, easy to misdiagnosis. This article from January 2001 to March 2012 in our hospital admitted to 21 cases of suspected multiple myeloma patients, CT system examination. Through retrospective analysis, after bone marrow smear and surgical pathology confirmed by Toshiba 16-slice CT examination, analysis of multiple myeloma imaging. 1 Clinical data 21 patients in this group, 16 males and 5 females, aged 51 to 68 years, mean 61.4 years. Clinical manifestations of systemic pain in 11 cases, the pain is mainly located in the lumbosacral, followed by pain in the chest wall and limbs; 7 cases were anemic appearance, 3 cases of fever, bone pain in 18 cases, 2 cases of hepatosplenomegaly, 2 cases Abnormal changes in renal function, pathological fracture in 3 cases. All cases of bone marrow smear analysis, the proportion of bone marrow plasma cells