multiple myeloma

 

Doctor's Information

Name : Morteza
Family : Sanei Taheri
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Resident : Khosro Taheri

 

Patient's Information

Gender : Female
Age : 69

 

Case Section

Muskuloskeletal System

 

Clinical Summary

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Images

 

Imaging Procedures and Findings

Multiple lytic lesions in left iliac ala and superior ramus of pubis

 

Discussion

Although myeloma most commonly presents as a diffuse permeative process in the skeleton. it can present as either a solitary lesionor as multiple lytic lesions. Like metastases, myeloma should only be considered in a patient older than the age of 40 years, although some radiologists use age 35 for the lower limits of myeloma. Myeloma typically has a diffuse permeative appearance . that can mimic a Ewing sarcoma or primary lymphoma of bone. Because of the age criteria, Ewing sarcoma and myeloma are not in the same differential, however. Myeloma frequently involves the calvaria .Rarely, myeloma can present with multiple sclerotic foci, thus resembling diffuse metastatic disease.

 

Final Diagnosis

multiple myeloma

 

References

Brant WE, Helms CA. Fundamentals of Diagnostic Radiology, 3rd edition.page:1075&1098

 

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