科研之友
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摘要
plasma cell leukaemia is a rare variant of multiple myeloma (2-3%), with an aggressive disease with short survival. it is defined as circulating peripheral blood plasma cells exceeding 2.000/ul and 20% of peripheral blood white cells. we present the case of 32-years-old man with left chest-wall pain, hepatomegaly, righ cervical adenopathy, 8800 leukocytes/ul with 33% of lymphocytes and 40% of plasma cell, 10,8 g/dl of proteins and a monoclonal hypergammaglobulinemia. bone marrow biopsy showed 40-50 % of intramedullary plasma cell. there was a ig g-kappa paraproteinemia.
