Late diagnosis of multiple myeloma: a case report

1st International Conference on Tropical Medicine and Infectious Diseases (ICTROMI) Faculty of Medicine Universitas Sumatera Utara

Syahreza, A.^1 ; Gatot, D.^1 ; Mardia, A.I.^1

Division of Hematology and Oncology, Department of Internal Medicine, H. Adam Malik General Hospital, Medical Faculty, Universitas Sumatera Utara, Medan, Indonesia^1

关键词: Bortezomib;    Case reports;    Compression fracture;    Dexamethasones;    Low back pain;    Multiple myeloma;    Plasmacytoma;   

Others  :  https://iopscience.iop.org/article/10.1088/1755-1315/125/1/012132/pdf
DOI  :  10.1088/1755-1315/125/1/012132

来源: IOP

【 摘 要 】

Multiple myeloma is a challenging hematologic case to handle. Sometimes the disease is diagnosed too late for the patient and doctor. Therefore, careful approaches are needed to manage the patient. A 66-year-old mansuffersfrom low back pain since one year before he came to the hospital. He was diagnosed multiple compression fractures by orthopedic and had undergone two surgeries in one year. Punched out lesions werein skull radiology and lumbar compression in lumbar MRI. After further investigation, plasmacytoma and M protein in urine electrophoresis were founded. Significant improvement found after bortezomib and dexamethasone were given.Diagnosis and management of multiple myeloma is a challenge for a doctor. Systematically approach is needed for a patient with a recurrent fracture. Even a novel therapies are not widely available in our country.We reported a late diagnosis of multiple myeloma and had a significant improvement after bortezomib and dexamethasone therapy.