This malignant hematological disease has a higher incidence rate than leukemia, but few people know about it

There are many kinds of blood diseases, and leukemia is just one of the chilling types.

Grandma Li (a pseudonym) is a patient with multiple myeloma.

Instructor: Li Qingshan, Director of the Department of Hematology, Guangzhou Red Cross Hospital

Cough and shortness of breath for 5 months, anti-infective treatment is ineffective

71-year-old grandmother Li (a pseudonym) has repeatedly coughed and shortness of breath for nearly 5 months.

After consultation with Li Qingshan, the director of the Department of Hematology of the Honghui Hospital, combined with the results of blood routines-white blood cell elevation with anemia, thrombocytopenia, red blood cells arranged in a money-like arrangement, it is considered that Grandma Li may have suffered from plasma cell disease.

Grandma Li, accompanied by her family, was transferred to the Department of Hematology of the Municipal Red Cross Hospital for treatment.

When she was first admitted to the hospital, Grandma Li, who had been bedridden for a long time, had a urinary tube in her body and was indifferent.

Identify the cause and treat symptomatically

Li Qingshan formulated a comprehensive treatment plan for Grandma Li, made active symptomatic supportive treatment, and led the hematology medical team to evaluate the condition in detail.

Granny Li’s bone marrow smear showed that the proportion of plasma cell lines was significantly higher, accounting for 89.

Chemotherapy was started on January 8, 2021.

How much do you know about multiple myeloma

Multiple myeloma (MM) is a malignant disease in which clonal plasma cells proliferate abnormally.

The symptoms of patients with typical multiple myeloma (MM) are often summarized as "CRAB" features (hypercalcemia, renal impairment, anemia, bone disease).

Be vigilant if bone pain and bone loosen are not cured for a long time, pay attention to these checks

If there is bone pain or osteoporosis that does not heal for a long time, it is recommended to go to the hematology department to check blood routine and urine (24-hour urine protein quantification), and do an M protein test.

The basic examination items for patients with clinically suspected multiple myeloma (MM) include blood examination, urine examination, bone marrow examination, and imaging examination.