Multiple myeloma x ray: Difference between revisions
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==Overview== | ==Overview== | ||
X-ray may be helpful in the diagnosis of multiple myeloma. Findings on X-ray suggestive of multiple myeloma include punched out bony lesions, generalized [[osteopenia]], and hair-on-end appearance.<ref name="radio">Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015</ref> | X-ray may be helpful in the diagnosis of multiple myeloma PMID:24614435. Findings on X-ray suggestive of multiple myeloma include punched out bony lesions, generalized [[osteopenia]], and hair-on-end appearance.<ref name="radio">Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015</ref> | ||
==X Ray== | ==X Ray== | ||
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*Shown below are images depicting the involvement of [[skull]] and [[spinal cord]] respectively in a case of multiple myeloma. | *Shown below are images depicting the involvement of [[skull]] and [[spinal cord]] respectively in a case of multiple myeloma. | ||
<gallery> | <gallery> |
Revision as of 07:58, 2 July 2018
Multiple myeloma Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2]
Overview
X-ray may be helpful in the diagnosis of multiple myeloma PMID:24614435. Findings on X-ray suggestive of multiple myeloma include punched out bony lesions, generalized osteopenia, and hair-on-end appearance.[1]
X Ray
- Simple radiography is the current gold standard for the initial diagnosis and evaluation of relapses of multiple myeloma.[1]
- The long bones and the spine must always be evaluated while the evaluation of other bones merit consideration based on the patient's symptoms.[1]
- A plain film skeletal survey is essential in not only the diagnosis of multiple myeloma, but also in assessing response, and pre-empting potential complications (e.g. pathological fracture). A typical skeletal survey consists of the following films:[1]
- The vast majority of lesions seen on plain radiography are purely lytic, sharply defined/punched out with endosteal scalloping when abutting cortex. The lesions are sclerotic in only 3% of patients.[1]
- Shown below are images depicting the involvement of skull and spinal cord respectively in a case of multiple myeloma.
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X ray showing hair on end appearance.
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X ray spine showing collapsed vertebrae.
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X ray spine showing increased space between 2 vertebrae suggestive of possible malignancy.