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題名 | Cutaneous Extramedullary Plasmacytoma=皮膚骨髓外漿細胞瘤 |
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作者 | 賴啟賢; 楊國材; | 書刊名 | 中華皮膚科醫學雜誌 |
卷期 | 17:3 1999.09[民88.09] |
頁次 | 頁225-230 |
分類號 | 415.78 |
關鍵詞 | 皮膚骨髓外漿細胞瘤; Multiple myeloma; Extramedullary plasmacytoma; Cutaneous extramedullary plasmacytoma; |
語文 | 英文(English) |
中文摘要 | 約有百分之七十的多發性骨髓瘤病人,可以發現有骨髓外漿細胞瘤,不過皮膚骨 髓外漿細胞瘤卻相當少見。一般而言,出現皮膚骨髓外漿細胞預後很差,而且存活時間很短 。我們報告的病例是一位 65 歲的女性在 1996 年 11 月診斷為多發性骨髓瘤,隨後她接受 過化學治療及放射治療。不幸地,在一年九個月後,在頭皮、驅幹及四肢散在出現許多堅硬 、紫紅色、直徑大小不一 (約 1 至 3 分分 ) 的結節。 經皮膚切片檢查證實為皮膚骨髓外 漿細胞瘤。 |
英文摘要 | Extramedullary plasmacytoma (EMP) is found in abut 70% of multiple myeloma patients, but cutaneous extramedullary plasmacytoma (CEMP) is quite rare. The appearance of CEMP is considered a bad prognostic sign with poor rate of survival. We describe a case of 65-year-old woman with multiple myeloma diagnosed in November 1996. She received chemotherapy and palliative radiotherapy. Unfortunately, 21 months later, scattered firm, violaceous-red, variably sized nodules with 1 to 3 cm in diameter were noted over her scalp, trunk, and extremities. Skin biopsy was performed and histopathology was consistent with CEMP. We report this rare case and review the literature. |
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