Abstract
A 59-year-old black man with myeloma presented to the emergency room with severe right arm pain not relieved by narcotics. Radiographs showed a lytic lesion of the right humerus. Six months ago at diagnosis, he had a thoracic cord compression with improvement of his lower extremity strength after steroids, melphalan (Alkeran), and irradiation. His medical diagnosis includes glucose-6-phosphate dehydrogenase (G-6-P-D) deficiency, hypertension and bleeding peptic ulcer. Hemoglobin was 12.1 g/1, white blood cells (WBC) 3100 cells/mm3, blood urea nitrogen (BUN) 14 mmo1/1, creatinine 0.9 mg/dl, and calcium 10.1 mg/dl. A bone survey showed disseminated osseous metastases, more pronounced in ribs, skull, and bone of both arms.
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© 1994 Springer-Verlag Berlin Heidelberg
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Reiter, H., Rubin, P. (1994). Myeloma with Disseminated Osseous Metastases. In: Kagan, A.R., Steckel, R.J. (eds) Practical Approaches to Cancer Invasion and Metastases. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84885-8_19
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DOI: https://doi.org/10.1007/978-3-642-84885-8_19
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