Kappa Light-Chain Multiple Myeloma with Myelomatous Pleural Effusion a Case Report and Review of the Literature

余 福九(Fu-Chiu Yu), 張 俊彥(Jang-Yang Chang), 黃 旭輝(Shiu-Hui Hwang), 李 恒昇(Herng-Sheng Lee), 黃 偉修(Wei-Hsiu Hwang)

研究成果: 雜誌貢獻文章同行評審

摘要

臨床上造成肋膜積水的原因有許多,例如:心臟衰竭、腎病症候群、肝硬化及腫瘤等。在多發性骨髓瘤者,肋膜積水中出現多發性骨髓瘤細胞,非常少見,此時對於化學治療的效果及預後皆不佳。報告一位kappa輕鏈多發性骨髓瘤合併肋膜積水的病例,經由骨髓病理切片及肋膜積水細胞的免疫化學染色檢查,均發現kappa輕鏈多發性骨髓瘤細胞,並討論有關多發性骨髓瘤肋膜積水的細胞學診斷及影響預後的因素。The occurrence of myelomatous pleural effusion in patients with multiple myeloma is extremely rare. Here we report a case of kappa light-chain multiple myeloma with myelomatous pleural effusion, which was confirmed by Wright-Geimsa stain and immunocytochemical studies of sediments of pleural effusion. The related literature about the cytologic diagnosis and the prognostic factors of myelomatous pleural effusion are also reviewed.
原文英語
頁(從 - 到)49-55
頁數7
期刊Journal of Medical Sciences
15
發行號1
出版狀態已發佈 - 8月 1994
對外發佈

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