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solitary myeloma
相关语句
  孤立性骨髓瘤
     Clinical analysis was made in 11 patients with myeloma who were admitted to our hospital during the period of 1974-1984.10 of 11 cases were multiple myeloma,only one was solitary myeloma.
     我院1974——1984年10年中收治骨髓瘤病人11例,其中10例为多发性骨髓瘤,1例为孤立性骨髓瘤
短句来源
     Nine cases were solitary myeloma and 5 were multiple.
     孤立性骨髓瘤9例,多发骨髓瘤5例。
短句来源
  “solitary myeloma”译为未确定词的双语例句
     Results: Solitary myeloma in 3 cases showed cystic and expansile bony destruction with soft fissue mass.
     结果:3例单发性骨髓瘤均呈囊状膨胀性骨破坏伴邻近软组织肿块。
短句来源
  相似匹配句对
     SOLITARY PLASMACYTOMAS AND MULTIPLE MYELOMA
     孤立性浆细胞瘤与多发性骨髓瘤
短句来源
     Solitary Plasmacytoma and Multiple Myeloma
     孤立性浆细胞瘤与多发性骨髓瘤
短句来源
     The Solitary and The Furor
     虚静与迷狂
短句来源
     Solitary mastocytoma
     单发性肥大细胞瘤
短句来源
     Myeloma of maxilla
     上颌骨骨髓瘤的临床特征
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  solitary myeloma
We believe that Tc-99m MIBI scintigraphy can detect bone marrow lesions in myeloma patients that cannot be detected by other imaging methods and that it can be useful especially in solitary myeloma to exclude other involved sites.
      
Histologically similar conditions such as multiple myeloma and solitary myeloma of bone were ruled out by clinical evaluation.
      
Our literature search disclosed 20 well-documented cases of multiple myeloma and 25 cases of solitary myeloma in patients at or below the age of 30.
      
One was a case of multiple myeloma involving the skull and ribs in a 23-year-old woman, the other of solitary myeloma of the tibia in a 21-year-old man.
      
Solitary myeloma of bone is a form of plasma cell tumor, histologically indistinguishable from multiple myeloma but characterised by a single bony focus of disease.
      
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Clinical analysis was made in 11 patients with myeloma who were admitted to our hospital during the period of 1974-1984.10 of 11 cases were multiple myeloma,only one was solitary myeloma.The ratio between male and female was about 1.7:1,72.7% of the cases was over 50 years old.Bone pain,anemia and renal failure were the main clinical features.Hemoglobin was less than 9g in 90.9% of cases.ESR was markedly elevated in 10 cases and was over100mm/h in 90.9%.Serum M-Components were detected in 6 cases.The level...

Clinical analysis was made in 11 patients with myeloma who were admitted to our hospital during the period of 1974-1984.10 of 11 cases were multiple myeloma,only one was solitary myeloma.The ratio between male and female was about 1.7:1,72.7% of the cases was over 50 years old.Bone pain,anemia and renal failure were the main clinical features.Hemoglobin was less than 9g in 90.9% of cases.ESR was markedly elevated in 10 cases and was over100mm/h in 90.9%.Serum M-Components were detected in 6 cases.The level of serum alkaline phosphatase was within normal limits in all of the cases.The positiva results of Bence-Jones protein in urine were determined in 54.5%of the casses. The skeletal roentgenogram of patients revealed ostoelytic lesions,pathologic fracture or otteoporcsis in the spine,skull,ribs,or pelvise.The clinical manif- estations of multiple myeloma are so variable that early diagnosis largely relies on the findings of multiple myeloaspriation and laboratory examintion.

我院1974——1984年10年中收治骨髓瘤病人11例,其中10例为多发性骨髓瘤,1例为孤立性骨髓瘤。男女之比约1.7∶1,超过50岁者占72.7%。骨痛、贫血及肾功能衰竭是本病的主要临床特征。血红蛋白低于9g,占90.9%。10例 ESR 明显增高,超过100mm/h 者占90.9%。6例发现 M-成分。所有病例的血清硷性磷酸酶均属正常。尿本周氏蛋白阳性占54.5%。骨 X 线平片在脊柱、头颅、肋骨及骨盆等处示溶骨性病损,或病理性骨折,或骨质疏松。多发性骨髓瘤的临床表现多样复杂,早期诊断更有赖于多次骨髓穿刺及实验室检查。

Purpose: To investigate the way improving diagnostic rate of myeloma. Materials and Methods: 35 cases of myeloma confirmed by medullary needle biopsy and/or operation and pathology were reviewed. Results: Solitary myeloma in 3 cases showed cystic and expansile bony destruction with soft fissue mass. 32 cases were multiple myeloma, of them, bony abnormality was not found on x-ray films in 3 cases,but one of these showed abnosmality on ECT; osteoporosis was appeased in 4 cases, one of cases...

Purpose: To investigate the way improving diagnostic rate of myeloma. Materials and Methods: 35 cases of myeloma confirmed by medullary needle biopsy and/or operation and pathology were reviewed. Results: Solitary myeloma in 3 cases showed cystic and expansile bony destruction with soft fissue mass. 32 cases were multiple myeloma, of them, bony abnormality was not found on x-ray films in 3 cases,but one of these showed abnosmality on ECT; osteoporosis was appeased in 4 cases, one of cases showed multiple radioactivity decreased on ECT; the remained 25 cases showed bony destructions in varied degrees and types, but one of these cases showed only active bony metabolism on ECT. CT scan was perfirmed in 5 cases, more and detailed informations were showed on CT but except one. Conclusion: It's main way for improving diagnostic rate of myeloma that deepen recognition of myeloma, combined clinic with radiology.laboratory and pathology, and using new imaging technique actively and reasonably.

目的探讨提高骨髓瘤诊断率的途径。材料与方法:回顾分析经骨髓穿刺和(或)手术病理证实的35例骨髓瘤的临床影像学资料。结果:3例单发性骨髓瘤均呈囊状膨胀性骨破坏伴邻近软组织肿块。32例多发性骨髓盾中,3例X线检查阴性,其中1例经ECT检查发现异常;4例X线表现骨质疏松,其中1例ECT显示有多发性放射性减低区;其余25例均呈不同程度及类型的骨质破坏,其中1例ECT检查仅为全身骨代谢活跃。5例CT检查除1例外,均显示出较X线更多更详细的诊断资料。结论:提高对本病的认识,实行临床、X线、实验室及病理相结合,积极合理地应用新成像技术是提高诊断率的主要途径。

Objective To discuss total vertebrectomy and spine stability and reconstruction by pos-terior ap proach for thoracic vertebra tumor and pedicle screw system fixation and intervertebral fusion.Methods Eighteen patients of 3males and15females of thoracic total vertebral tumor were operated in this group.The age of the group were from14to58years old,with the average of 23years.There were4aneurysmal bone cysts,2hemangiomas,2osteoblastomas,1neurilemomas,5giant cell tumor,1solitary myeloma and3metastatic...

Objective To discuss total vertebrectomy and spine stability and reconstruction by pos-terior ap proach for thoracic vertebra tumor and pedicle screw system fixation and intervertebral fusion.Methods Eighteen patients of 3males and15females of thoracic total vertebral tumor were operated in this group.The age of the group were from14to58years old,with the average of 23years.There were4aneurysmal bone cysts,2hemangiomas,2osteoblastomas,1neurilemomas,5giant cell tumor,1solitary myeloma and3metastatic thoracic vertebra tumors.The locations of the tumors was T 4 in1case,T 5 in1case,T 6 in2cases,T 8 in4cases,T 9 in3cases,T 10 in4cases,T 11 in2cases and T 12 in1case respectively.Pre-operative Frankel classification was grade A in6cases,B in7cases,C in3cases and E in2cases.Cir-cumferential decompression was performed with total spondylectomy through one-stage posterior ap proach.Anterior verte bral reconstruction was provided by autograft(ribs or ilium)bone or metallic cage;Posterior reconstruction was achieved by pedi cle screws system of CD or TSRH,Scofix fixation and auto graft fusion.Results The mean follow-up was8months,ranging from3months to24months.Twelve of 16cases with neu ro logical dysfunction were recovered completely,1case recovered from Frankel grade A to C,2cases from grade A to D,1case from grade B to D.The patient with neurilemmoma recurred and became ma lig nant after20months of operation and died4months later.One case of metastatic tumor of lung cancer sur vived6months after opera tion.One patient with giant cell tumor recurred.The other patients were still alive in the latest follow-up.There were no instruments breakage and spinal instability during the follow-up.Conclusion If the thoracic total vertebral tumor compress spinal cord se riously,the patients should be indi cat-ed for surgical treatment constructively.Total vertebrectomy followed by one-stage posterior approach re con-struction could relieve the com pression caused by tumor and reconstruct the stabilization of spine effectively.

目的探讨胸椎单脊椎肿瘤通过后路一期病椎切除、单纯植骨支撑融合或钛网支撑植骨融合、后路椎弓根钉系统内固定,达到切除病灶并同时重建脊柱稳定性的可行性。方法对18例胸椎单脊椎肿瘤患者行后路一期全脊椎切除、环脊髓减压,同时进行后路单纯植骨融合或椎间钛网支撑植骨,应用后路CD、TSRH或Scofix椎弓根钉系统内固定。男3例,女15例;年龄14~58岁,平均23岁。T41例,T51例,T62例,T84例,T93例,T104例,T112例,T121例。病理诊断:动脉瘤样骨囊肿4例,血管瘤2例,骨母细胞瘤2例,神经鞘瘤1例,骨巨细胞瘤5例,单发骨髓瘤1例,转移瘤3例。术前Frankel分级:A级6例,B级7例,C级3例,E级2例。结果术后随访3个月~2年,16例脊髓功能障碍者,12例完全恢复,4例部分恢复,所有患者局部疼痛均消失。1例术后出现一过性瘫痪加重,1例出现脊椎滑脱。术后平均植骨融合时间为3个月。1例骨巨细胞瘤患者复发;1例神经鞘瘤患者1年后局部出现包块,取活检报告为恶性肿瘤(未报组织学类型),4个月后死亡;1例肺癌转移患者术后6个月死亡;其余病例存活至今。结论对于胸段脊椎肿瘤行后路手术可一期实施单脊椎肿瘤彻底切除...

目的探讨胸椎单脊椎肿瘤通过后路一期病椎切除、单纯植骨支撑融合或钛网支撑植骨融合、后路椎弓根钉系统内固定,达到切除病灶并同时重建脊柱稳定性的可行性。方法对18例胸椎单脊椎肿瘤患者行后路一期全脊椎切除、环脊髓减压,同时进行后路单纯植骨融合或椎间钛网支撑植骨,应用后路CD、TSRH或Scofix椎弓根钉系统内固定。男3例,女15例;年龄14~58岁,平均23岁。T41例,T51例,T62例,T84例,T93例,T104例,T112例,T121例。病理诊断:动脉瘤样骨囊肿4例,血管瘤2例,骨母细胞瘤2例,神经鞘瘤1例,骨巨细胞瘤5例,单发骨髓瘤1例,转移瘤3例。术前Frankel分级:A级6例,B级7例,C级3例,E级2例。结果术后随访3个月~2年,16例脊髓功能障碍者,12例完全恢复,4例部分恢复,所有患者局部疼痛均消失。1例术后出现一过性瘫痪加重,1例出现脊椎滑脱。术后平均植骨融合时间为3个月。1例骨巨细胞瘤患者复发;1例神经鞘瘤患者1年后局部出现包块,取活检报告为恶性肿瘤(未报组织学类型),4个月后死亡;1例肺癌转移患者术后6个月死亡;其余病例存活至今。结论对于胸段脊椎肿瘤行后路手术可一期实施单脊椎肿瘤彻底切除,并通过椎体间钛网支撑或植骨及后路椎弓根钉系统内固定重建脊柱的稳定性,效果满意。

 
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