Primary Radiodiagnosis of Skeletal Changes in the Onset of Multiple Myeloma, Approaches to Differential Radiodiagnosis (Observations from Practice)

A. V. Laryukov, E. K. Laryukova, F. F. Gubaidullina, Z. F. Mazitova
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Abstract

Multiple myeloma — Rustitzky-Kahler disease is the most common tumor of the group of Ig-secreting lymphomas. The article presents the difficulties of radiodiagnosis assessment of skeletal changes in the initial stages of multiple myeloma, when bone pain is the only clinical manifestation, and X-ray examination reveals single large foci of destruction. These observations emphasize the important role of assessment and interpretation of bone changes in such situations, which can be the main guiding factor in choosing an examination algorithm for making a correct diagnosis. The article is of interest to radiation diagnosticians, it presents literature data and issues of differential radiodiagnosis of skeletal changes in multiple myeloma.
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多发性骨髓瘤发病时骨骼变化的初级放射诊断,鉴别放射诊断的方法(实践观察)
多发性骨髓瘤--Rustitzky-Kahler 病是分泌 Ig 的淋巴瘤中最常见的肿瘤。文章介绍了放射诊断评估多发性骨髓瘤初期骨骼变化的困难之处,即骨痛是唯一的临床表现,而X光检查显示的是单个大的破坏灶。这些观察结果强调了在这种情况下评估和解释骨骼变化的重要作用,它可以成为选择检查算法以做出正确诊断的主要指导因素。文章介绍了多发性骨髓瘤骨骼病变的文献数据和放射诊断鉴别问题,对放射诊断工作者很有意义。
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