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多发性骨髓瘤(MM)是一种以骨髓浆细胞异常增生为特征的恶性肿瘤,并伴有单克隆免疫球蛋白和轻链蛋白异常增高。MM起病隐匿,症状多样,临床上容易误诊,主要临床表现为转移性骨痛、贫血、肾脏损害和感染等,其侵袭部位以骨和淋巴结多见,但以肝转移和黄疸为主要表现的非常少见。现报道1例,并结合国内外文献对其临床特点进行分析,以加强对本病的认识。
Multiple myeloma (MM) is a malignant tumor characterized by abnormal proliferation of bone marrow plasma cells, accompanied by abnormally elevated monoclonal immunoglobulin and light chain protein. MM occult onset, various symptoms, clinically easy to misdiagnosis, the main clinical manifestations of metastatic bone pain, anemia, kidney damage and infection, the site of invasion of bone and lymph nodes more common, but mainly to liver metastases and jaundice Very rare. A case is reported, and combined with domestic and foreign literature on its clinical features in order to strengthen the understanding of the disease.