Clinical misdiagnosis of multiple myeloma Analysis.docVIP

 PAGE \* MERGEFORMAT 8 Clinical misdiagnosis of multiple myeloma Analysis [Abstract] MM suspicious cases, in addition to a comprehensive understanding of history and detailed physical examination beyond, should improve the following examinations: complete blood count and classification, routine urine test, liver function, kidney function, serum protein electrophoresis, immunoglobulin quantification, urine condensate melting qualitative or urine light chain protein, protein, whole body bone x-ray films (especially the skull, sternum, bones, etc.), bone marrow cytology or biopsy, for severe low back pain or nervous system, the performance of those who should be cranial of brain and spinal cord MRI examination. [Keywords:] multiple myeloma; misdiagnosis rate; clinical analysis of Multiple myeloma is a malignant plasma cell disease, a type of most common, accounting for 10% of hematological tumors, systemic tumors about 1%. In our hospital from 2002 to 2003 a total of two years, patients with multiple myeloma treated 35 cases, including pre-hospital misdiagnosed in 17 cases, misdiagnosis rate was 48.5%. A clinical data 1.1 General information on cases in this group are in line with national diagnostic criteria [2]. 8 males and 9 females, aged 57 ~ 84 years, with an average 68.7 years of age. The shortest onset to diagnosis 1 week, up to 2 years. 17 patients underwent immunophenotyping, 10 cases were IgG type, 6 cases of IgA type, 1 case of light chain type. 1.2 misdiagnosis with low back pain for the performance of 4 cases misdiagnosed as compression fracture, 1 case misdiagnosed as osteoporosis, 1 case misdiagnosed as intervertebral disc; to face pale as the performance of dizziness in 1 case misdiagnosed as malnutrition, anemia, 1 cases misdiagnosed as aplastic anemia; with chest tightness, heart palpitations for the performance of those misdiagnosed as coronary heart disease; with recurrent cough as the performance of those misdiagnosed as lung infection;