男性,52岁。腰背疼痛半年,牙龈出血2周就诊。体检:中度贫血貌,肝肋下1cm,脾肋下刚及。化验:Hb80g/L,WBC3.8×10/L,血小板56×10/...

作者: rantiku 人气: - 评论: 0
问题 男性,52岁。腰背疼痛半年,牙龈出血2周就诊。体检:中度贫血貌,肝肋下1cm,脾肋下刚及。化验:Hb80g/L,WBC3.8×10/L,血小板56×10/L。尿蛋白(+++),ESR105mm/1h末,骨骼X线摄片L,L有楔形压缩,多根肋骨有虫蚀样破坏。血钙3.25mmol/L,IgG5.0g/L,IgA2.1g/L,IgM0.5s/L,IgD0.003g/L,尿本周蛋白(-)。 本例检查结果BUN20.5mmol/L,肌酐400μmol/L,AKP50U,骨髓涂片原浆加幼浆细胞0.05(5%),成熟浆细胞0.07(7%),患者最可能的诊断是
选项 A.反应性浆细胞增多症 B.轻链型多发性骨髓瘤 C.非分泌性多发性骨髓瘤 D.IgG型多发性骨髓瘤 E.IgD型多发性骨髓瘤
答案 C
解析

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