Multiple myeloma

Case contributed by Dr Maulik S Patel

Presentation

Backache. No trauma.

Patient Data

Age: about 75 - 80 yrs
Gender: Female
X-ray

Significant generalized osteopenia. Height reduction / anterior wedging of multiple vertebral bodies.

Protrusio acetabula - more on obvious on right side.

A lytic lesion is noted in proximal shaft of left femur. It causes endosteal scalloping of medial cortex. Few other  tiny lytic suspicious foci are noted causing endosteal scalloping of lateral femoral shaft cortex.

Case Discussion

Findings raised the possibility of multiple myeloma. Electrophoresis study proved the diagnosis.

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Case information

rID: 27705
Case created: 15th Feb 2014
Last edited: 18th Dec 2015
Inclusion in quiz mode: Included

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