Multiple myeloma with disseminated sclerotic lesions mimicking metastatic bone lesions; a rare case series
Authors: Nurhilal Buyukkurt, Nazim Emrah Kocer
Background: Lesions characterized by myeloma are lytic lesions surrounded by sclerosis. Diffuse or wide-length sclerotic bone lesions associated with myeloma are infrequent. Case presentation: Two men, 70 and 72 years old, were referred from oncology to hematology for diffuse, large-length sclerotic bone lesions. Their findings were interpreted as having bone metastasis of primary cancer in orthopedics, internal medicine, and oncology due to diffuse sclerotic bone lesions found incidentally during the examinations performed for another reason. The probable causes (prostate, lung, and gastrointestinal cancer) of metastasis were investigated, and they were referred to hematology after a nearly 2-month examination period. Conclusion: The remarkable extensive sclerotic bone lesions may mask the myeloma and may not be considered in the differential diagnosis. However, these cases had the typical clinical findings and laboratory results of MM, except for bone disease. Therefore, we aimed to highlight this issue.
Keywords: Tumor, Metastasis, Multiple myeloma, Sclerotic lesions, Bone, Case report.
Authors
Correspondence to:
Nurhilal Buyukkurt, Baskent University Medical School, Department of İnternal Medicine, Hematology Division, Ankara, Turkey nurhilalsk@gmail.com
Publication history:
Received 07 Mar 2023
Revised 23 Jul 2023
Accepted 25 Aug 2023
Published online 20 Dec 2023
Published in print 22 Mar 2024
Buyukkurt N, Kocer NE. Multiple myeloma with disseminated sclerotic lesions mimicking metastatic bone lesions; a rare case series. EJMCR. 2023; 7(8): 167-171. doi:
10.24911/ejmcr/173-1678176335
Buyukkurt N, Kocer NE. Multiple myeloma with disseminated sclerotic lesions mimicking metastatic bone lesions; a rare case series. https://www.ejmcr.com/?mno=145648 [Access: April 29, 2024]. doi:
10.24911/ejmcr/173-1678176335
Buyukkurt N, Kocer NE. Multiple myeloma with disseminated sclerotic lesions mimicking metastatic bone lesions; a rare case series. EJMCR. 2023; 7(8): 167-171. doi:
10.24911/ejmcr/173-1678176335
Buyukkurt N, Kocer NE. Multiple myeloma with disseminated sclerotic lesions mimicking metastatic bone lesions; a rare case series. EJMCR. (2023), [cited April 29, 2024]; 7(8): 167-171. doi:
10.24911/ejmcr/173-1678176335
Buyukkurt, N. & Kocer, . N. E. (2023) Multiple myeloma with disseminated sclerotic lesions mimicking metastatic bone lesions; a rare case series. EJMCR, 7 (8), 167-171. doi:
10.24911/ejmcr/173-1678176335
Buyukkurt, Nurhilal, and Nazim Emrah Kocer. 2023. Multiple myeloma with disseminated sclerotic lesions mimicking metastatic bone lesions; a rare case series. European Journal of Medical Case Reports, 7 (8), 167-171. doi:
10.24911/ejmcr/173-1678176335
Buyukkurt, Nurhilal, and Nazim Emrah Kocer. "Multiple myeloma with disseminated sclerotic lesions mimicking metastatic bone lesions; a rare case series." European Journal of Medical Case Reports 7 (2023), 167-171. doi:
10.24911/ejmcr/173-1678176335
Buyukkurt, Nurhilal, and Nazim Emrah Kocer. "Multiple myeloma with disseminated sclerotic lesions mimicking metastatic bone lesions; a rare case series." European Journal of Medical Case Reports 7.8 (2023), 167-171. Print. doi:
10.24911/ejmcr/173-1678176335
Buyukkurt, N. & Kocer, . N. E. (2023) Multiple myeloma with disseminated sclerotic lesions mimicking metastatic bone lesions; a rare case series. European Journal of Medical Case Reports, 7 (8), 167-171. doi:
10.24911/ejmcr/173-1678176335