A case of multiple myeloma in a young adult, discovered on the basis of an abnormal finding on a chest X-ray film

A 35-year-old woman was referred to our hospital because of an abnormal finding on a chest X-ray film. Chest and abdominal computed tomography (CT) revealed a 25 × 5-mm tumor in the anterior right third rib as well as punched-out lesions in the vertebral bodies and iliac bones. Positron emission tom...

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Bibliographic Details
Published in:	Gan to kagaku ryoho Vol. 41; no. 11; p. 1441
Main Authors:	Nakao, Makoto, Asao, Yuu, Kagawa, Yusuke, Sone, Kazuki, Aoki, Sachiko, Sato, Hidefumi, Kunieda, Takefumi, Yano, Hiroki, Muramatsu, Hideki
Format:	Journal Article
Language:	Japanese
Published:	Japan 01-11-2014
Subjects:	Adult Female Humans Magnetic Resonance Imaging Multiple Myeloma - diagnostic imaging Multiple Myeloma - pathology Tomography, X-Ray Computed X-Ray Film
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Summary:	A 35-year-old woman was referred to our hospital because of an abnormal finding on a chest X-ray film. Chest and abdominal computed tomography (CT) revealed a 25 × 5-mm tumor in the anterior right third rib as well as punched-out lesions in the vertebral bodies and iliac bones. Positron emission tomography (PET)/CT revealed accumulation in the right third rib and lumbar vertebral bodies. From these imaging findings and the lumbar magnetic resonance imaging (MRI) findings, we suspected a case of multiple myeloma. We performed histological bone marrow examination, serum protein electrophoresis, and urine immunoelectrophoresis. The patient was finally diagnosed with a Bence-Jones-type multiple myeloma. To our knowledge, this is a rare case of multiple myeloma in a young adult, discovered on the basis of an abnormal finding on a chest X-ray film.
ISSN:	0385-0684