Sclerotic multiple myeloma with an unusual sunburst periosteal reaction occurring in the sternum
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- 作者：Yuqing Li ; Wenjuan Wu ; Zekun Zhang ; Yang Ding ; Mahrukh Latif
- 关键词：Multiple myeloma ; Sunburst periosteal reaction ; Sternum ; Osteosclerosis
- 刊名：Skeletal Radiology
- 出版年：2015
- 出版时间：May 2015
- 年：2015
- 卷：44
- 期：5
- 页码：749-754
- 全文大小：986 KB
- 参考文献：1. Ghosh, S, Wadhwa, P, Kumar, A, Pai, K, Seshadri, S, Manohar, C (2011) Abnormal radiological features in a multiple myeloma patient: a case report and radiological review of myelomas. Dentomaxillofac Radiol 40: pp. 513-8 CrossRef
2. Baykul, T, Aydin, U, O Carroll, MK (2004) Unusual combination of presenting features in multiple myeloma. Dentomaxillofac Radiol 33: pp. 413-9 CrossRef
3. Shozushima, M, Suzuki, M, Ito, S (1987) Multiple myeloma with a distinct “sun-ray appearance-occurring in the jaw. Oral Radiol 3: pp. 121-6 CrossRef
4. Mohammadi, A, Ilkhanizadeh, B, Ghasemi-Rad, M (2012) Mandibular plasmocytoma with sun-ray periosteal reaction: a unique presentation. Int J Surg Case Rep 3: pp. 296-8 CrossRef
5. Ramon, Y, Oberman, M, Horowitz, I, Freedman, A, Tadmor, R (1978) A large mandibular tumor with a distinct radiological “sun-ray effect-as the primary manifestation of multiple myeloma. J Oral Surg 36: pp. 52-4
6. Porter, EC (1961) Osteogenesis in multiple myeloma. Report of a case. Radiology 76: pp. 457-8 CrossRef
7. Lipper, S, Kahn, LB, Hesselson, N (1975) Localised myeloma with osteogenesis and Russell body formation. S Afr Med J 15: pp. 2041-5
8. Grover, SB, Dhar, A (2000) Imaging spectrum in sclerotic myelomas: an experience of three cases. Eur Radiol 10: pp. 1828-31 CrossRef
9. Langley, GR, Sabean, HB, Sorger, K (1966) Sclerotic lesions of bone in myeloma. Can Med Assoc J 94: pp. 940-6
10. Schulze, M, Weisel, K, Grandjean, C (2014) Increasing bone sclerosis during bortezomib therapy in multiple myeloma patients: results of a reduced-dose whole-body MDCT study. AJR Am J Roentgenol 202: pp. 170-9 CrossRef
11. Blaquière, RM, Guyer, PB, Buchanan, RB, Gallagher, PJ (1982) Sclerotic bone deposits in multiple myeloma. Br J Radiol 55: pp. 591-3 CrossRef
12. McCluggage, WG, Jones, FG, Hull, D, Bharucha, H (1995) Sclerosing IgA multiple myeloma. Acta Haematol 94: pp. 98-101 CrossRef
13. Nakanishi, K, Kashiwagi, N, Hamada, K, Yaqi, T, Tomita, Y (2010) Solitary plasmacytoma of the sternum detected incidentally by MR imaging of the cervical spine. Magn Reson Med Sci 9: pp. 227-31 CrossRef
14. Jiang, ZH (1988) Radiologic diagnosis of tumors of the sternum (analysis of 30 cases). Zhonghua Fang She Xue Za Zhi 22: pp. 286-9
15. Bloom, RA, Libson, E, Husband, JE, Stoker, DJ (1987) The periosteal sunburst reaction to bone metastases. A literature review and report of 20 additional cases. Skeletal Radiol 16: pp. 629-34 CrossRef
16. Rana, RS, Wu, JS, Eisenberg, RL (2009) Periosteal reaction. AJR Am J Roentgenol 193: pp. W259-72 CrossRef
17. Restrepo, CS, Martinez, S, Lemos, DF (2009) Imaging appearance of the sternum and sternoclavicular joints. Radiographics 29: pp. 839-59 CrossRef
18. Khanna, L, El-Khoury, GY (2012) SAPHO syndrome–a pictorial assay. Iowa Orthop J 32: pp. 189-95
19. Ji, ZF, Zhang, DY, Weng, SQ, Shen, XZ, Liu, HY, Dong, L (2012) POEMS syndrome: a report of 14 cases and review of the literature. ISRN Gastroenterol 2012: pp. 584287 CrossRef
20. Tamir, R, Glanz, I, Lubin, E, Vana, D, Pick, AI (1983) Comparison of the sensitivity of 99mTc-methyl diphosphonate bone scan with the skeletal X-ray survey in multiple myeloma. Acta Haematol 69: pp. 236-42
文摘
Multiple myeloma is a disseminated neoplastic monoclonal gammopathy that usually affects the skull, clavicle, rib, pelvis, spinal column, and proximal portions of the humerus and femur. The initial manifestation of multiple myeloma in the sternum is rare. The classic radiological presentations of multiple myeloma are multiple “punched-out-areas of bone destruction, expansile lytic lesions, and generalized osteoporosis. Primary sclerotic presentation is rare and occurs in only 3?% of cases. A sclerotic multiple myeloma with a sunburst periosteal reaction occurring in the sternum has not been reported in the English literature. We report a case of sclerotic multiple myeloma of a 49-year-old woman. In the sternum, the lesion displayed extensive sclerosis mixed with mottled lytic areas with a sunburst periosteal reaction occurring in the periphery, which radiologically mimicked an osteosarcoma. Multiple focal areas of sclerosis were also found in the right clavicle, pelvis, multiple ribs, and vertebrae.