多发性骨髓瘤性胸腔积液3例(1)
[摘要] 多发性骨髓瘤可出现髓外浸润，但累及胸膜腔出现骨髓瘤性胸腔积液罕见。本文回顾性分析北京积水潭医院2012年6月～2013年6月收治的3例骨髓瘤性胸腔积液患者的病例资料，其中有2例IgA型，出现于多发性骨髓瘤疾病进展期；1例为不分泌型，以胸腔积液为首发症状。前2例患者虽给予积极化疗但病情无好转，最后合并肺部感染而死亡，另外1例患者失访。回顾近10年文献报道，骨髓瘤性胸腔积液以IgG型为多见，其次为IgA型；可为单侧胸腔积液，亦可累及双侧；胸腔积液多出现于多发性骨髓瘤疾病进展期，部分患者以胸腔积液为首发症状。这类患者化疗效果不佳，预后差，生存时间一般不超过1年。
[关键词] 骨髓瘤性胸腔积液；多发性骨髓瘤；浆细胞瘤；髓外浸润
[中图分类号] R733.3 [文献标识码] A [文章编号] 1674-4721(2016)07(c)-0177-04
[Abstract] Multiple myeloma can appear marrow infiltration， but rare involving the pleural cavity， appear myeloma pleural effusion. This article retrospectively reviews the medical records of 3 patients diagnosed with myelomatous pleural effusion from June 2012 to June 2013 in Beijing Jishuitan Hospital. 2 patients of our cases are IgA subtype and showed clinical aggressive characteristics. Chemotherapy turned out useless ......
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[关键词] 骨髓瘤性胸腔积液；多发性骨髓瘤；浆细胞瘤；髓外浸润
[中图分类号] R733.3 [文献标识码] A [文章编号] 1674-4721(2016)07(c)-0177-04
[Abstract] Multiple myeloma can appear marrow infiltration， but rare involving the pleural cavity， appear myeloma pleural effusion. This article retrospectively reviews the medical records of 3 patients diagnosed with myelomatous pleural effusion from June 2012 to June 2013 in Beijing Jishuitan Hospital. 2 patients of our cases are IgA subtype and showed clinical aggressive characteristics. Chemotherapy turned out useless ......
您现在查看是摘要页，全文长 5050 字符。