孤立性浆细胞瘤与多发性骨髓瘤  

SOLITARY PLASMACYTOMAS AND MULTIPLE MYELOMA

作　　者：韩丽英[1] 邱志坚[2] 易星 陈新贵[1] 刘红[1] 邓明明 李发菊[1] 吴惠如[1] 

机构地区：[1]泸州医学院附属医院血液内科,646000 [2]泸州市人民医院内科 [3]泸州市人民医院碎石中心 [4]泸州市人民医院消化科

出　　处：《泸州医学院学报》1999年第1期34-36,共3页Journal of Luzhou Medical College

摘　　要：目的：探讨孤立性浆细胞瘤和多发性骨髓瘤间的关系。方法：对27例孤立性浆细胞瘤进行临床分析。结果：提示孤立性浆细胞瘤中的74．07％的患者衍变为多发性骨髓瘤，其衍变的时间长短不一；其衍变和瘤细胞的病理类型明显相关，术后常规的化疗及放疗和其衍变无统计学相关意义。结论：孤立性浆细胞瘤多数将衍变为多发性骨髓瘤，在诊断孤立性浆细胞瘤成立后应将其视为一种单独的疾病，采取恰当的治疗手段能阻止或延后其衍变。Objective: To study the relationship between multiple myeloma and solitary plasmacytoma. Mashed: 27cases of solitary plasmacytoma admitted to our hospital in nearly 17 years were analyzed. Results: 77. 7% of solitaryplasmacytornas developed into multiple myeloma. This development was closely related to the pathological type of solitaryplasma cytomas. Post-operation chemo therapy and rediotherapy had seemed to have nothing to do with the eveloping ofsolitary plasmacytoma. Conclusion: Most of solids plasmacytomas will probably develop into multiple myeloma andtherefore should be considered as a single group of disease.

关 键 词：孤立性浆细胞瘤 多发性骨髓瘤 衍变 

分 类 号：R733.3[医药卫生—肿瘤] R730.263[医药卫生—临床医学]