Multiple myeloma

Case contributed by Dr Ian Bickle

Presentation

Fatigue. Weight loss.

Patient Data

Age: 75 years
Gender: Female
X-ray

Chest: Small lucent lesions in both clavicles.   The lungs are clear.

Humeri:  lucent lesions in both humeri.

Skull: pepperpot appearance

Pelvis: vague lucencies projected over the proximal femora 

Spine: two fractured vertebral bodies in the upper thoracic spine, degenerative change

 

Case Discussion

Lucent lesions throughout the bony skeleton and two fractures in the upper thoracic spine - the differential is between metastases and myeloma.

Laboratory and histopathological investigations confirmed multiple myeloma.

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Case information

rID: 73665
Published: 15th Mar 2020
Last edited: 18th Mar 2020
Inclusion in quiz mode: Included

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