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患者右肩关节隐痛5个月,活动受限2个半月入院。术前影像学检查见右肩胛颈部膨胀性骨质破坏;实验室检查:Hb:88g/L,球蛋白59.9g/L,尿蛋白(+);β2-微球蛋白和尿素均高于正常值。术中冰冻病理报告:恶性肿瘤,考虑为转移性低分化腺癌。术后行PET-CT检查,未找到明确原发灶。术后石蜡病理报告:浆细胞瘤。骨髓瘤临床表现多样,易发生误诊,应增强对此病的认识,提高警惕性,培养对临床资料的综合分析能力,拓宽诊断思路,达到对疾病的早期诊治,及时缓解临床症状,延长恶性肿瘤患者的生存期。
Right shoulder pain in patients with pain for 5 months, limited mobility 2 and a half months admitted to hospital. Preoperative imaging examination showed swelling of the right scapular neck bone destruction; laboratory tests: Hb: 88g / L, globulin 59.9g / L, urinary protein (+); β2-microglobulin and urea were higher than normal value. Intraoperative frozen pathology report: malignant tumor, considered as metastatic poorly differentiated adenocarcinoma. Postoperative PET-CT examination, did not find a clear primary tumor. Postoperative paraffin pathology report: plasmacytoma. Myeloma clinical manifestations of diverse, prone to misdiagnosis, should enhance awareness of the disease, increase vigilance, develop a comprehensive analysis of clinical data capabilities and broaden the diagnostic ideas to achieve early diagnosis and treatment of diseases, timely relief of clinical symptoms, extended malignancy Patient’s survival.