Misdiagnosis of bone metastasis of prostate cancer and clinical analysis of multiple myeloma.doc

 PAGE \* MERGEFORMAT 7 Misdiagnosis of bone metastasis of prostate cancer and clinical analysis of multiple myeloma [Keywords:] prostate cancer, bone metastases, multiple myeloma A case report Male patient, 75 years, mainly due to lumbosacral pain around 1 more than a month, adding to hospitalized 5 days. No frequency, urgency, dysuria, no dysuria, 3 months, weight loss of about 10kg. Past 2 years more than double history of lower extremity edema ankle, there is a history of recurrent pulmonary infections, hospitalized several times. examination: vital signs were normal, moderate anemia appearance, lower extremity pitting edema ankle. auxiliary examination: blood: RBC2.28 × 1012 / L, WBC5.6 × 109 / L, HGB63g / L, PLT80 × 109 / L. Liver function: TP57.7g / L, ALB 30.3g / L. ESR 58mm / h, alkaline phosphatase (AKP542u / L, BUN 11.01mmol / L. Urine - protein this week’s test was negative, B ultrasound showed: enlarged prostate and calcified plaque, no space-occupying lesions of liver, bladder and kidneys were normal. X-ray film showed: Lumbar physiological curvature of the straight, bone of the vertebral body apparent proliferation of film, the first after 3,4,5 narrow width of disc space before the change in lumbar spine and sacroiliac joint universality of bone density increased. pelvis various bone, lower lumbar vertebrae and accessories, were seen in the sacrum bone density increased to varying degrees, an increase in trabecular bone thickening, two hip joints, sacroiliac joint space narrowing, fuzzy. admission diagnosis: multiple myeloma (hardening. pain has to be fun must, wear fun, meperidine, such as the United States Feikang pain treatment, but no significant improvement in pain, to lose red blood cell suspension, human serum albumin to correct anemia and hypoproteinemia, but no significant improvement in the disease. by the hospital after consultation, orthopedic patients with major symptoms of lumbosacral pain, anemia, weight loss, recurrent p