广泛骨质疏松，满布大小不等穿凿样改变，髂骨翼有片状骨缺损。
x线诊断：多发骨髓瘤（multiple myeloma）
评论：此病起源于骨髓的浆细胞，异常增生的恶性肿瘤，无法根治。
年龄多偏高，好发于扁骨。早期发于颅骨者应与蛛网膜颗粒压迹鉴别。
分期：stage 1
this is if you have
no anaemia (in other words, a normal red blood cell count)
a normal level of blood calcium
no bone damage
low levels of abnormal antibodies (immunoglobulin) in your blood
stage 1 is then divided into a and b. a is for people who have normally working kidneys. group b is for people who have some kidney damage. this is measured by a blood test for a chemical called creatinine.
some doctors call solitary plasmacytoma stage 1 myeloma.
stage 2
stage 2 includes anyone who does not fit exactly into stage 1 or stage 3. so, you would be stage 2 if you had 1 or 2 areas of bone damage. you can also have stage 2a or 2b. as with stage 1, this depends on whether your kidneys have been damaged at all by the myeloma.
stage 3
this is if you have
anaemia (low red cell count)
high levels of calcium in your blood
more than 3 sites of bone damage
high levels of abnormal antibodies in your blood
stage 3 is also divided into stages 3a and 3b, with those in 3b having a high creatinine level in their blood, indicating that they have some kidney damage from their myeloma. |
发表于 2004-10-27 19:13
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